IndividualActive
Peter Wonder, NP
NPI 1285741991 · Nurse Practitioner · Modesto, CA
Provider details
- NPI number
- 1285741991
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- License
- NP4766 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1700 Coffee Road
Modesto, CA 95355-2803
Phone: (209) 526-4500
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 12020
Westminster, CA 92685-2020
Registry dates
- Enumerated
- 2006-08-25
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.