GRETCHEN T WAMBACH PA-C NPI 1174555932

NPI Information

NPI: 1174555932
Provider Name: GRETCHEN T WAMBACH, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
565 EUREKA WAY
SEQUIM, WA
ZIP 98382
Phone: (360) 582-0808
Get Directions

Gretchen T Wambach, PA-C is a medical physician assistant in Sequim, WA. Gretchen T Wambach, PA-C NPI is 1174555932. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

565 EUREKA WAY
SEQUIM, WA
ZIP 98382-074
Phone: (360) 582-0808
Fax: (360) 683-5678

The enumeration date for this NPI number is 7/6/2006 and was last updated on 7/12/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA10004382	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AB38563	OTHER	WASHINGTON	MEDICARE ID
2	P90749	MEDICARE UPIN	WASHINGTON
3	6999WA	OTHER	WASHINGTON	REGENCE
4	800016698	OTHER	WASHINGTON	PREMERA BLUE CROSS
5	80001669803	OTHER	WASHINGTON	KPS
6	8864956	MEDICARE PIN	WASHINGTON
7	8358285	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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