Individual
DANA LYN WEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, NP,PMHNP-BC
Contact information
Practice address
3031 TELEGRAPH AVE, OAKLAND, CA 94609-3205
(510) 596-8125
Mailing address
3031 TELEGRAPH AVE, OAKLAND, CA 94609-3205
(510) 596-8125
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
472764
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
472764
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN472764
—
CA
Enumeration date
09/05/2006
Last updated
04/14/2015
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