Healthcare Provider Details

I. General information

NPI: 1013871045
Provider Name (Legal Business Name): ABBEY MEILANI WETZEL CHINN LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 EUREKA WAY
REDDING CA
96001-0222
US

IV. Provider business mailing address

619 BERRY ST
MOUNT SHASTA CA
96067-2506
US

V. Phone/Fax

Practice location:
  • Phone: 530-246-9000
  • Fax: 530-245-4139
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number755186
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: