Dequardo, Wanda Jeanette

Dequardo, Wanda Jeanette is an individual health care provider with primary practice located at 17822 Beach Blvd Ste 300 , Huntington Beach CA 92647-7172. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Dequardo, Wanda Jeanette can be contacted via phone (714) 375-1122.

Contact Information

Primary practice address
17822 Beach Blvd Ste 300 Huntington Beach CA 92647-7172
Phone: (714) 375-1122
Fax: (949) 863-8581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95129597 California

Profile Details

NPI number 1003691957
LBN Legal business name Dequardo, Wanda Jeanette
Credentials DNP, APRN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2023
Last updated Dec 13th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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