Wolfendale, India Nicole

Wolfendale, India Nicole is an individual health care provider with primary practice located at 605 S Coolidge St , Moses Lake WA 98837-1873. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wolfendale, India Nicole can be contacted via phone (509) 765-0674.

Contact Information

Primary practice address
605 S Coolidge St Moses Lake WA 98837-1873
Phone: (509) 765-0674
Fax: (509) 765-6591
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 60958714 Washington

Profile Details

NPI number 1992364590
LBN Legal business name Wolfendale, India Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2019
Last updated Jan 11th, 2021 - about 5 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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