Provider Demographics
NPI:1558031054
Name:ALMONTE, WENDY PATRICIA
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:PATRICIA
Last Name:ALMONTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1546 ORANGE ST
Mailing Address - Street 2:
Mailing Address - City:LEMOORE
Mailing Address - State:CA
Mailing Address - Zip Code:93245-9222
Mailing Address - Country:US
Mailing Address - Phone:808-258-0784
Mailing Address - Fax:
Practice Address - Street 1:1546 ORANGE ST
Practice Address - Street 2:
Practice Address - City:LEMOORE
Practice Address - State:CA
Practice Address - Zip Code:93245-9222
Practice Address - Country:US
Practice Address - Phone:808-258-0784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-15
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95018421363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology