Provider Demographics
NPI:1659451714
Name:STEIGER, WENDY (CNM/NP)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:STEIGER
Suffix:
Gender:F
Credentials:CNM/NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5855 OLIVAS PARK DR
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-7672
Mailing Address - Country:US
Mailing Address - Phone:805-667-2801
Mailing Address - Fax:805-641-1706
Practice Address - Street 1:852 W VENTURA ST
Practice Address - Street 2:
Practice Address - City:FILLMORE
Practice Address - State:CA
Practice Address - Zip Code:93015-1837
Practice Address - Country:US
Practice Address - Phone:805-524-2672
Practice Address - Fax:805-524-3953
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA317623363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARHM08609FMedicaid
CARHM18553HMedicaid
CA95-1683892OtherOTHER INSURANCE
CARHM08608FMedicaid
CAZZT40394FMedicaid