Provider Demographics
NPI:1164725826
Name:STINSON, WENDY ELIZABETH (RN)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:ELIZABETH
Last Name:STINSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:WENDY
Other - Middle Name:ELIZABETH
Other - Last Name:SCANTLEBURY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:6016 S LAND PARK DR
Mailing Address - Street 2:APT. # 8
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95822-3334
Mailing Address - Country:US
Mailing Address - Phone:916-588-5535
Mailing Address - Fax:
Practice Address - Street 1:6016 S LAND PARK DR
Practice Address - Street 2:APT. # 8
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95822-3334
Practice Address - Country:US
Practice Address - Phone:916-588-5535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA700712163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse