Individual
GENEVIEVE WONG
Active
Individual
GENEVIEVE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95062564
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
95003281
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95003281
CA NURSE PRACTITIONER LICENSE NUMBER
CA
01
—
95062564
CA REGISTERED NURSE LICENSE NUMBER
CA
Enumeration date
10/20/2015
Last updated
10/20/2015
Update your record
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