Provider Demographics
NPI:1487548681
Name:JOHNSON, WENDY CHRISTINE (RN)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:CHRISTINE
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12555 NAVAJO RD
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92308-7256
Mailing Address - Country:US
Mailing Address - Phone:760-247-8001
Mailing Address - Fax:760-946-9861
Practice Address - Street 1:12555 NAVAJO RD
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92308-7256
Practice Address - Country:US
Practice Address - Phone:760-247-8001
Practice Address - Fax:760-946-9861
Is Sole Proprietor?:No
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA647561163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse