Basic Information
Provider Information
NPI: 1225263122
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SPALSBURY
FirstName: WENDY
MiddleName: ERIN
NamePrefix:  
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3070 SNOWBIRD DR
Address2:  
City: CHICO
State: CA
PostalCode: 959734955
CountryCode: US
TelephoneNumber: 5308999345
FaxNumber:  
Practice Location
Address1: 592 RIO LINDO AVE
Address2:  
City: CHICO
State: CA
PostalCode: 959261817
CountryCode: US
TelephoneNumber: 5308912999
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/20/2009
LastUpdateDate: 05/20/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WP0808XRN439473CAY Nursing Service ProvidersRegistered NursePsych/Mental Health

No ID Information.


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