DR. WANDA JEANETTE DEQUARDO DNP APRN FNP-BC NPI 1003691957

NPI Information

  • NPI: 1003691957
  • Provider Name: DR. WANDA JEANETTE DEQUARDO, DNP, APRN, FNP-BC
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Individual
  • Address: 17822 BEACH BLVD STE 300
    HUNTINGTON BEACH, CA
    ZIP 92647
  • Phone: (714) 375-1122

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NPI Details

DR. Wanda Jeanette Dequardo, DNP, APRN, FNP-BC is a nurse practitioner in Huntington Beach, CA. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. DR. Wanda Jeanette Dequardo, DNP, APRN, FNP-BC NPI is 1003691957. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

17822 BEACH BLVD STE 300
HUNTINGTON BEACH, CA
ZIP 92647-172
Phone: (714) 375-1122
Fax: (949) 863-8581

The enumeration date for this NPI number is 8/29/2023 and was last updated on 12/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner95129597CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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