Healthcare Provider Details

I. General information

NPI: 1558031054
Provider Name (Legal Business Name): WENDY PATRICIA ALMONTE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2021
Last Update Date: 09/15/2021
Certification Date: 09/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1546 ORANGE ST
LEMOORE CA
93245-9222
US

IV. Provider business mailing address

1546 ORANGE ST
LEMOORE CA
93245-9222
US

V. Phone/Fax

Practice location:
  • Phone: 808-258-0784
  • Fax:
Mailing address:
  • Phone: 808-258-0784
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number95018421
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: