India Nicole Wolfendale, PA-C
Physician Assistant · Moses Lake, WA
Practice location
605 S Coolidge StMoses Lake, WA 98837-1873
- Phone
- (509) 765-0674
- Fax
- (509) 765-6591
NPI record
- NPI
- 1992364590
- Entity type
- Individual (Type 1)
- Enumeration date
- June 7, 2019
- Last updated
- January 11, 2021
- Certified
- January 7, 2021
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
60958714 | WA |
Other practice locations (1)
- 510 W 1st Ave, Toppenish, WA 98948-1564 · (509) 865-5600
About India Wolfendale
India Nicole Wolfendale, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 605 S Coolidge St, Moses Lake, WA 98837-1873. The NPI number 1992364590 was assigned on June 7, 2019 and the record was last updated on January 11, 2021.
India Wolfendale lists a license in the registry: #60958714 (WA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of India Nicole Wolfendale, PA-C?
The NPI number is 1992364590.
What is the phone number of India Wolfendale?
The phone number listed for the practice location is (509) 765-0674.
Where is India Wolfendale located?
605 S Coolidge St, Moses Lake, WA 98837-1873.
What is the taxonomy code for India Wolfendale?
The primary taxonomy code is 363A00000X – Physician Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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