Constance Ruth Wylie in Penn Valley - Nurse Practitioner

Constance Ruth Wylie - NPI 1376630814

Constance Ruth Wylie is a Nurse Practitioner in Penn Valley, California. Constance Ruth Wylie practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Constance Ruth Wylie is 1376630814. The last update date is 2022-04-01.

Constance Ruth Wylie's current location address is 21300 Bald Ridge Dr, Penn Valley, California. You can contact this provider via phone number 5303049606. The mailing address for Constance Ruth Wylie is 21300 Bald Ridge Dr, Penn Valley, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Constance Ruth Wylie
Address 21300 Bald Ridge Dr, Penn Valley, California
Phone Number 5303049606
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1376630814
Provider Enumeration Date 2006-10-06
Last Updated Date 2022-04-01

Provider Mailing Address Detail

Address 21300 Bald Ridge Dr
City Penn Valley
State California (CA)
Post Code 959469402
Phone Number 5303049606
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No NP7089
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

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FAQs about Constance Ruth Wylie

What is the unique identifier code issued to Constance Ruth Wylie by the Centers for Medicare & Medicaid Services?

The Constance Ruth Wylie has been assigned the NPI (National Provider Identifier) 1376630814. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Constance Ruth Wylie is physically located?

The Constance Ruth Wylie is situated at the following address: 21300 Bald Ridge Dr, Penn Valley, CA 959469402.

What is the Constance Ruth Wylie's specialty and taxonomy code?

The Constance Ruth Wylie's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.

On what date was the 1376630814 assigned to Constance Ruth Wylie?

The Constance Ruth Wylie was issued its 1376630814 on 2006-10-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Constance Ruth Wylie most recently updated or revised?

The information pertaining to Constance Ruth Wylie, including its address, specialty, and other relevant details, was last updated or revised on 2022-04-01.

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