Individual provider · Type 1 NPI
Wendy Johanna Colocho
Psychiatric/Mental Health Nurse Practitioner · Lancaster, CA
NPI number
1407625643
Active
Practice location
45604 17th St W
Lancaster, CA 93534-5194
Fax (201) 331-5003
Other practice locations
- 3400 Douglas Blvd Ste 170, Roseville, CA 95661-4281 · (916) 740-3721
- 11900 Avalon Blvd, Los Angeles, CA 90061-2866 · (661) 874-6347
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 95080528 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95029221 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1407625643
Wendy Johanna Colocho's National Provider Identifier is 1407625643, issued on Dec 29, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lancaster, CA. The record was last updated on Apr 19, 2026.