Wathen, Ili

Wathen, Ili is an individual health care provider with primary practice located at 2855 Crain Hwy , Waldorf MD 20601-2840. 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. Wathen, Ili can be contacted via phone (240) 427-1926.

Contact Information

Primary practice address
2855 Crain Hwy Waldorf MD 20601-2840
Phone: (240) 427-1926
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C0004349 Maryland

Profile Details

NPI number 1063722577
LBN Legal business name Wathen, Ili
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2010
Last updated Jan 9th, 2020 - 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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