Wentling, Lisa A

Wentling, Lisa A is an individual health care provider with primary practice located at 31039 Hwy 64 # B , Cimarron NM 87714-9646. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Wentling, Lisa A can be contacted via phone (575) 376-2402.

Contact Information

Primary practice address
31039 Hwy 64 # B Cimarron NM 87714-9646
Phone: (575) 376-2402
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2008-0063 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0002467 Maryland
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X PA2008-0063 New Mexico

Profile Details

NPI number 1083885560
LBN Legal business name Wentling, Lisa A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2008
Last updated Oct 31st, 2023 - about 2 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 1083885560 NPPES
New Mexico Other CS00214130 PHARMACY
New Mexico Other PA2008-0063 PHARMACY

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