Individual provider · Type 1 NPI
Wanda Ivette Jimenez
Administrator Registered Nurse · Vandenberg Afb, CA
NPI number
1972340438
Active
Practice location
338 S Dakota Ave
Vandenberg Afb, CA 93437-6307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | RN9175240 (FL) |
Administrator Registered Nurse: Definition to come...
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About NPI 1972340438
Wanda Ivette Jimenez's National Provider Identifier is 1972340438, issued on Jul 11, 2024. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Vandenberg Afb, CA. The record was last updated on Jul 11, 2024.