WANDA SANTOS CIULLA PHYSICIAN ASSISTANT NPI 1417460833

NPI Information

NPI: 1417460833
Provider Name: WANDA SANTOS CIULLA, PHYSICIAN ASSISTANT
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
509 S MAIN ST
PARIS, IL
ZIP 61944
Phone: (217) 465-8053
Get Directions

Wanda Santos Ciulla, PHYSICIAN ASSISTANT is a medical physician assistant in Paris, IL. Wanda Santos Ciulla, PHYSICIAN ASSISTANT NPI is 1417460833. 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:

509 S MAIN ST
PARIS, IL
ZIP 61944-325
Phone: (217) 465-8053

The enumeration date for this NPI number is 11/7/2017 and was last updated on 11/7/2017.

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	208D00000X	General Practice		085000243	NEW YORK	No
2	363A00000X	Physician Assistant		085000243	NEW YORK	No
3	2083P0500X	Preventive Medicine	Preventive Medicine/Occupational Environmental Medicine	085000243	NEW YORK	No
4	363AM0700X	Physician Assistant	Medical	085000243	ILLINOIS	No
5	363AM0700X	Physician Assistant	Medical	085000243	NEW YORK	Yes

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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