Wedel, Dana Lyn

Wedel, Dana Lyn is an individual health care provider with primary practice located at 3031 Telegraph Ave , Oakland CA 94609-3205. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Wedel, Dana Lyn can be contacted via phone (510) 596-8125.

Contact Information

Primary practice address
3031 Telegraph Ave Oakland CA 94609-3205
Phone: (510) 596-8125
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 472764 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 472764 California

Profile Details

NPI number 1780787036
LBN Legal business name Wedel, Dana Lyn
Credentials MS, RN, NP,PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated Apr 14th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780787036 NPPES
California MEDICAID RN472764

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