Provider Demographics
NPI:1003041773
Name:BEALS, WENDY NOEL (RN)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:NOEL
Last Name:BEALS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:WENDY
Other - Middle Name:NOEL
Other - Last Name:BINNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3359 MABEL ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95838-4151
Mailing Address - Country:US
Mailing Address - Phone:916-628-9947
Mailing Address - Fax:
Practice Address - Street 1:5 HILDA WAY
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1417
Practice Address - Country:US
Practice Address - Phone:530-899-3759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-23
Last Update Date:2009-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA743620163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health