Provider Demographics
NPI:1346124831
Name:ESCOBEDO GARCIA, WENDY (NURSING)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:ESCOBEDO GARCIA
Suffix:
Gender:F
Credentials:NURSING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2424 S 260TH ST TRLR 12
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-5576
Mailing Address - Country:US
Mailing Address - Phone:206-460-9409
Mailing Address - Fax:
Practice Address - Street 1:14434 AMBAUM BLVD SW STE 5
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-1438
Practice Address - Country:US
Practice Address - Phone:206-812-9188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN.61679889163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse