Provider Demographics
NPI:1801477153
Name:SILVERMAN-MARTIN, WENDIE (RN)
Entity type:Individual
Prefix:
First Name:WENDIE
Middle Name:
Last Name:SILVERMAN-MARTIN
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 1:1300 QUARRY COURT
Mailing Address - Street 2:APT. # 313
Mailing Address - City:POINT RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94801-4135
Mailing Address - Country:US
Mailing Address - Phone:510-847-1387
Mailing Address - Fax:
Practice Address - Street 1:1500 NORTHGATE MALL
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-3671
Practice Address - Country:US
Practice Address - Phone:415-492-0888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA404799163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse