Individual
ANNETTE WANKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1939 MORTAR LOOP APT A, NEWPORT NEWS, VA 23603-1502
(240) 305-5767
Mailing address
5228 VERENDA AVE, TWENTYNINE PALMS, CA 92277-1780
(240) 305-5767
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
1254767
VA
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/28/2020
Last updated
04/26/2021
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