Wolterstorff, Dianne Janette

Wolterstorff, Dianne Janette is an individual health care provider with primary practice located at 402 S 12Th Ave , Yakima WA 98902-3115. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / School, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wolterstorff, Dianne Janette can be contacted via phone (509) 573-2598.

Contact Information

Primary practice address
402 S 12Th Ave Yakima WA 98902-3115
Phone: (509) 573-2598
Fax: (509) 452-5224
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / School 363LS0200X AP30003149 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30003419 Washington

Profile Details

NPI number 1508993452
LBN Legal business name Wolterstorff, Dianne Janette
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Oct 25th, 2019 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508993452 NPPES
Washington MEDICAID 1044528

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