Provider Demographics
NPI:1225467731
Name:MCCALEB, WENDY (RN)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:
Last Name:MCCALEB
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7516 EASTBROOK CIR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-3568
Mailing Address - Country:US
Mailing Address - Phone:907-230-4447
Mailing Address - Fax:907-929-1300
Practice Address - Street 1:8130 OLD SEWARD HWY
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-3358
Practice Address - Country:US
Practice Address - Phone:907-929-5826
Practice Address - Fax:907-929-5862
Is Sole Proprietor?:No
Enumeration Date:2013-11-05
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKNUR R 20389163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health