Vanderwilde, Patricia W

Vanderwilde, Patricia W is an individual health care provider with primary practice located at 1414 N Houk Rd Ste 204, Spokane Valley WA 99216-1097. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Vanderwilde, Patricia W can be contacted via phone (509) 922-0362.

Contact Information

Primary practice address
1414 N Houk Rd Ste 204 Spokane Valley WA 99216-1097
Phone: (509) 922-0362
Fax: (509) 228-9542
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP30006179 Washington

Profile Details

NPI number 1689635567
LBN Legal business name Vanderwilde, Patricia W
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated May 1st, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689635567 NPPES
Washington MEDICAID 9639071

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