Gentile, Wanda

Gentile, Wanda is an individual health care provider with primary practice located at 5525 Grossmont Center Dr , La Mesa CA 91942-3009. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gentile, Wanda can be contacted via phone (619) 644-2600.

Contact Information

Primary practice address
5525 Grossmont Center Dr La Mesa CA 91942-3009
Phone: (619) 644-2600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN205414 California
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X RN205414 California

Profile Details

NPI number 1205845575
LBN Legal business name Gentile, Wanda
Credentials RNPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1205845575 NPPES
California MEDICAID RN205414

Popular Providers