Poncik, Wanda J
Poncik, Wanda J is an individual health care provider with primary practice located at 2625 Mcnutt Rd. , Sunland Park NM 88063-9019. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Poncik, Wanda J can be contacted via phone (575) 589-0887.Contact Information
Primary practice address
2625 Mcnutt Rd.
Sunland Park NM 88063-9019
Phone: (575) 589-0887
Fax: (575) 589-0898
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 508505 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CNP01117 | New Mexico |
Profile Details
NPI number | 1306948658 |
---|---|
LBN Legal business name | Poncik, Wanda J |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 5th, 2006 |
Last updated | May 3rd, 2017 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306948658 | NPPES |
New Mexico | MEDICAID | 32085273 |
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