Wendy Noelle Wan PMHNP

NPI 1427486505 - Nurse Practitioner - 363LP0808X

NPI Details
NPI 1427486505
Gender Female
Enumeration Date 10/28/2013
Last Updated 02/15/2016
Entity Type Individual
Active Over 3 years ago
Practice Location
1520 PLAZA ST NW
SALEM OR, 97304-4658, US
Phone (503) 585-3012
Fax
Business Location
1855 SAGINAW ST S
SALEM OR, 97302-5233, US
Phone (503) 551-0386
Fax
Toxanomy
Taxonomy Code 363LP0808X
License State Oregon
License Number 201393325NP-PP
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According to our database, Wendy Noelle Wan PMHNP NPI is 1427486505, taxonomy code is 363LP0808X and license number is 201393325NP-PP, license state is located at Oregon. Wendy Noelle Wan PMHNP physically located at 1520 Plaza St Nw, Salem OR, 97304-4658. NPI Number Wendy Noelle Wan PMHNP has the Individual type.

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1427486505 NPI number is provided on an as is basis without warranty of any kind. 1427486505 is maintained by the National Plan & Provider Enumeration System. The contents of Wendy Noelle Wan PMHNP are for informational purposes only.