Wendy M Boyer, RN, BSN

Individual provider Active NPI Registered Nurse · Sonoma, CA

NPI 1619634094 · NPPES record last updated Nov 20, 2021

Key facts

NPI
1619634094
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
545319 (CA)
Practice address
952 1St St W
Sonoma, CA 95476-7417
Phone
(707) 291-2536
NPI assigned
Nov 20, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
545319CAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 545319 CA Yes

Addresses

Primary practice location

952 1St St W
Sonoma, CA 95476-7417

Mailing address

952 1St St W
Sonoma, CA 95476-7417
Phone (707) 291-2536

Other providers in Sonoma, CA

All providers in Sonoma, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.