MR. WADE ALLEN HOLDEN P.A. NPI 1538463252

NPI Information

NPI: 1538463252
Provider Name: MR. WADE ALLEN HOLDEN, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
3909 CREEKSIDE LOOP STE 115
YAKIMA, WA
ZIP 98902
Phone: (509) 574-6095
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MR. Wade Allen Holden, P.A. is a medical physician assistant in Yakima, WA. MR. Wade Allen Holden, P.A. NPI is 1538463252. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3909 CREEKSIDE LOOP STE 115
YAKIMA, WA
ZIP 98902-880
Phone: (509) 574-6095
Fax: (509) 574-6098

The enumeration date for this NPI number is 1/10/2011 and was last updated on 2/19/2019.

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	646	MONTANA	No
2	363AM0700X	Physician Assistant	Medical		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	646	OTHER	MONTANA	STATE LICENSE

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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