Individual
WYNNE JOSEPHINE WAKOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911
(760) 837-8956
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911
(760) 837-8956
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NP303578
GA
363LA2100X
Acute Care Nurse Practitioner
NP95037797
CA
Other
Enumeration date
11/12/2025
Last updated
12/29/2025
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