Wanda Ivette Jimenez, is a
Registered Nurse - Administrator based in Vandenberg Afb, California. Wanda Ivette Jimenez is licensed to practice in Florida (license number RN9175240) and her current practice location is
338 S Dakota Ave, Vandenberg Afb, California. She can be reached at her office (for appointments etc.) via phone at
(805) 606-1721.
NPI number for Wanda Ivette Jimenez is 1972340438 and her current mailing address is 338 S Dakota Ave, Vandenberg Afb, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972340438.
Provider's Profile
Full Name | Wanda Ivette Jimenez |
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Gender | Female |
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Speciality | Registered Nurse - Administrator |
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Location | 338 S Dakota Ave, Vandenberg Afb, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972340438
- Provider Enumeration Date: 07/11/2024
- Last Update Date: 07/11/2024
Medical Identifiers
Medical identifiers for Wanda Ivette Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972340438 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WA2000X | Registered Nurse - Administrator | RN9175240 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Wanda Ivette Jimenez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Wanda Ivette Jimenez, 338 S Dakota Ave, Vandenberg Afb, CA 93437-6307 Ph: (805) 606-1721 | Wanda Ivette Jimenez, 338 S Dakota Ave, Vandenberg Afb, CA 93437-6307 Ph: (805) 606-1721 |
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