Most Relevant Information
Provider Data
| NPI Number: | 1003497223 |
| Provider Name: | WENDY MACEDO NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 95016556 |
Most Important Dates
| Enumeration Date: | 04/19/2021 |
| Last Updated: | 02/08/2024 |
Provider Practice Location
1011 LOCKHEED WAY
PALMDALE
CA
935993240
Practice Location Phone/Fax
| Phone: | 6615722190 |
| Fax: | 6615722150 |
Provider Mailing Location
1011 LOCKHEED WAY
PALMDALE
CA
935990001
Provider Mailing Phone/Fax
| Phone: | 6615722974 |
| Fax: |