Provider Demographics
NPI:1598326704
Name:BARCELO, WENDY M
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:M
Last Name:BARCELO
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:WENDY
Other - Middle Name:M
Other - Last Name:BARCELO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:WENDY M BARCELO RN
Mailing Address - Street 1:2961 TIMBERLINE DR
Mailing Address - Street 2:
Mailing Address - City:WEST RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99353-7204
Mailing Address - Country:US
Mailing Address - Phone:509-205-2117
Mailing Address - Fax:
Practice Address - Street 1:2961 TIMBERLINE DR
Practice Address - Street 2:
Practice Address - City:WEST RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99353-7204
Practice Address - Country:US
Practice Address - Phone:509-205-2117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-27
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00098992163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse