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WENDY FULLAM
NPI 1558997239
Technician, Other in Clearlake, CA

Active since March 13, 2020
15856 28TH AVE, CLEARLAKE, CA 95422(707) 396-8188 Get Directions Write a Review

NPPES record last updated: March 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2020, Mar 13, 2020 (2 updates tracked since 2020).

About Wendy Fullam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WENDY FULLAM (NPI 1558997239) is an individual technician, other provider in Clearlake, California and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1558997239
Entity TypeIndividualFemale
Primary Taxonomy247200000X
Provider Legal NameWENDY FULLAM
Location Address15856 28TH AVEClearlake, CA 95422-8189
Mailing Address7108 S Kanner HwyStuart, FL 34997-7462
Phone(707) 396-8188
Sole ProprietorNo
Enumeration DateMarch 13, 2020
Last NPPES UpdateMarch 16, 20202 updates tracked since enumeration
NPPES CertifiedMarch 16, 2020
✔ NPI 1558997239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
15856 28TH AVE, Clearlake, CA 95422
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wendy Fullam's NPI number?

The NPI number for Wendy Fullam is 1558997239. It was assigned to this individual provider in the NPPES registry on March 13, 2020.

Where is Wendy Fullam located?

Wendy Fullam practices at 15856 28th Ave, Clearlake, CA 95422. The listed phone number is (707) 396-8188.

What is Wendy Fullam's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Wendy Fullam was last updated on March 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.