Nanette Yvonne Wardle, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

459097 Issued in CA

Practice address

5362 Lemee LN
Mariposa, CA 95338-9556

Phone

(209) 769-5125

NPI assigned

Jun 6, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1245924950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 216",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953380216",
            "telephone_number": "209-769-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5362 LEMEE LN",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953389556",
            "telephone_number": "209-769-5125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5189 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Mariposa",
            "state": "CA",
            "postal_code": "953389524",
            "country_code": "US",
            "telephone_number": "209-769-5125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARDLE",
        "first_name": "NANETTE",
        "middle_name": "YVONNE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "459097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raul Ulyses Villar
• Hannah Violette
• Lisa Nicole Wackerman, RN
• Stephanie Lynne Walker, PPS
• Cody Diane Ward
• Deron Theodore Warren, D.O.
• Brian Kirk Wass
• Esther Michele Wass
• Karen Watanakeeree, DDS
• Michele Louise Weisenberger

• General Practice Registered Nurse in Mariposa, CA
• Providers in Mariposa, CA by specialty
• General Practice Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.