Healthcare Provider Details

I. General information

NPI: 1225163850
Provider Name (Legal Business Name): JOYCE ELAINE WECKL PMHNP, N.P., CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 03/12/2024
Certification Date: 03/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 TOWN CENTER DRIVE SUITE # 400
OXNARD CA
93036-1126
US

IV. Provider business mailing address

1000 TOWN CENTER DRIVE SUITE # 400
OXNARD CA
93036-1126
US

V. Phone/Fax

Practice location:
  • Phone: 805-654-0926
  • Fax: 805-654-0949
Mailing address:
  • Phone: 805-654-0926
  • Fax: 805-654-0949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNP6980
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberNMW1008
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: