Provider Demographics
NPI:1730725268
Name:FRENCH, WENDY DARLENE (FNP)
Entity type:Individual
Prefix:MS
First Name:WENDY
Middle Name:DARLENE
Last Name:FRENCH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1142 ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95404-3341
Mailing Address - Country:US
Mailing Address - Phone:707-479-5310
Mailing Address - Fax:
Practice Address - Street 1:1142 ORCHARD ST
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95404-3341
Practice Address - Country:US
Practice Address - Phone:707-479-5310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-19
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA468621163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse