Provider Demographics
NPI:1023435377
Name:MILLER, WENDI ANN (RN)
Entity type:Individual
Prefix:MS
First Name:WENDI
Middle Name:ANN
Last Name:MILLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:WENDI
Other - Middle Name:ANN
Other - Last Name:MILLER-BROWN, BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1968 TRINITY WAY
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-2207
Mailing Address - Country:US
Mailing Address - Phone:707-927-5173
Mailing Address - Fax:
Practice Address - Street 1:1968 TRINITY WAY
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-2207
Practice Address - Country:US
Practice Address - Phone:707-527-2400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA476731163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care