Wedvik, Aileen Leslie

Wedvik, Aileen Leslie is an sole proprietor health care provider with primary practice located at 4909 108Th St Sw , Lakewood WA 98499-3724. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wedvik, Aileen Leslie can be contacted via phone (253) 581-3075.

Contact Information

Primary practice address
4909 108Th St Sw Lakewood WA 98499-3724
Fax: (253) 581-3178
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30005688 Washington

Profile Details

NPI number 1346443413
LBN Legal business name Wedvik, Aileen Leslie
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2007
Last updated Jul 21st, 2022 - about 3 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 1346443413 NPPES
Washington MEDICAID 9653155

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