Individual provider · NPI-1

Annette Wanki

In Home Supportive Care · Newport News, VA

NPI number1306453949
StatusActive
Last updated in NPPESApr 26, 2021

Details

NPI
1306453949
Entity type
Individual (NPI-1)
Name
Annette Wanki
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 28, 2020
Certification date
Apr 26, 2021
Last updated
Apr 26, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes
163WG0600X Registered Nurse, Gerontology1254767VA
171M00000X Case Manager/Care Coordinator––
251B00000X Case Management––
251E00000X Home Health––
251F00000X Home Infusion––
251S00000X Community/Behavioral Health––
310400000X Assisted Living Facility––
314000000X Skilled Nursing Facility––
372500000X Chore Provider––
372600000X Adult Companion––
385H00000X Respite Care––

Practice location

1939 Mortar Loop Apt A
Newport News, VA 23603-1502

Phone 240-305-5767

Mailing address

5228 Verenda Ave
Twentynine Palms, CA 92277-1780

Phone 240-305-5767

Other practice locations

5228 Verenda Ave
Twentynine Palms, CA 92277-1780

Phone 240-305-5767

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