Healthcare Provider Details

I. General information

NPI: 1538947981
Provider Name (Legal Business Name): RACHAEL ANN WOJCIK FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2023
Last Update Date: 09/18/2023
Certification Date: 09/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 CHAPALA ST
SANTA BARBARA CA
93101-8053
US

IV. Provider business mailing address

1113 ORANGE DR
OXNARD CA
93036-1816
US

V. Phone/Fax

Practice location:
  • Phone: 805-695-2172
  • Fax:
Mailing address:
  • Phone: 805-208-4048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95027242
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: