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NPI Code Detail

MEDICARE: BRUSHAY WANDICK

MEDICARE: BRUSHAY WANDICK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041S0200XSchool Social Worker

General Provider Information

NPI Number : 1255269940
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRUSHAY WANDICK
Provider Business Mailing Address
First Line : 7701 PRISM WAY
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93313-5087
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7701 PRISM WAY
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93313-5087
Country : US
Telephone Number : 661-454-2098
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2026
Last Update Date : 05/12/2026

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Directions to “ BRUSHAY WANDICK ” Practice Location

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