Provider Demographics
NPI:1952333684
Name:MARGOLIS, WENDY SUE (NP)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:SUE
Last Name:MARGOLIS
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Gender:F
Credentials:NP
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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:805-667-2865
Practice Address - Street 1:242 E HARVARD BLVD
Practice Address - Street 2:STE C
Practice Address - City:SANTA PAULA
Practice Address - State:CA
Practice Address - Zip Code:93060-3372
Practice Address - Country:US
Practice Address - Phone:805-525-9595
Practice Address - Fax:805-525-6667
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2013-12-26
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Provider Licenses
StateLicense IDTaxonomies
CANPF3610363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology