MRS. MARCELLA WILDEMAN (NPI# 1285185231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285185231 |
| Entity Type | Individual |
| Full Name | MRS. MARCELLA WILDEMAN |
| Credential | DNP, FNP-BC |
| Practice Address |
939 Caroline St Port Angeles WA 98362-3909 |
| Practice Telephone | 3605822930 |
| Mailing Telephone | 3605822930 |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60701532 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
939 CAROLINE ST |
| City | PORT ANGELES |
| State | WA |
| Zip Code | 98362-3909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739829 | Pamela J Bundy | Anesthesiology | 939 Caroline St, Port Angeles, WA 98362-3909 | 2005-06-10 |
| 1508463902 | Amy Kalisek | Nurse Practitioner | 939 Caroline St, Port Angeles, WA 98362-3997 | 2020-10-08 |
| 1376155721 | Tierra Renee Thompson | Social Worker | 939 Caroline St, Port Angeles, WA 98362-3909 | 2020-08-18 |
| 1194344333 | Kassandra Simmons Yager | Nurse Practitioner | 939 Caroline St, Port Angeles, WA 98362-3909 | 2020-04-08 |
| 1285286534 | Trevor Jackman | Physician Assistant | 939 Caroline St, Port Angeles, WA 98362-3997 | 2019-07-16 |
| 1295391357 | Kelly Michelle Mann | Nurse Practitioner | 939 Caroline St, Port Angeles, WA 98362-3997 | 2019-05-14 |
| 1023580461 | Fallon Ann Clancy | Physician Assistant | 939 Caroline St, Port Angeles, WA 98362-3997 | 2018-12-26 |
| 1548740210 | King County Public Hospital District No. 2 | Neurological Surgery | 939 Caroline St, Port Angeles, WA 98362 | 2018-08-21 |
| 1619460185 | Emily Allison Allen | Speech-Language Pathologist | 939 Caroline St, Port Angeles, WA 98362-3997 | 2018-06-10 |
| 1093215121 | Elizabeth Schuerman | Dietitian, Registered | 939 Caroline St, Port Angeles, WA 98362-3909 | 2018-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831735778 | Jayme Marie Williams | Technician | 518 S. Liberty St., Port Angeles, WA 98362 | 2019-11-26 |
| 1780229559 | Barbara Amsler Nutrition, Pllc | Dietitian, Registered | 320 E. 5th St., Port Angeles, WA 98362 | 2019-11-15 |
| 1902315005 | Barbara Amsler | Nutritionist | 116 S. Ennis St, Port Angeles, WA 98362 | 2017-09-21 |
| 1134659667 | Janet Li Hanson | Registered Nurse | 532 South Alder Lane, Port Angeles, WA 98362 | 2017-06-18 |
| 1790220192 | Monica Kay Henry | Massage Therapist | 102 1/2 East 1st Street Suite #7, Port Angeles, WA 98362 | 2016-12-21 |
| 1124491725 | Gabrielle Carter | Naturopath | 1126 Columbia St, Port Angeles, WA 98362 | 2015-11-04 |
| 1912301185 | Danya Lyn Davis | Massage Therapist | 106 W. Lauridsen Blvd., Port Angeles, WA 98362 | 2014-10-17 |
| 1528470861 | Richard Dean Thorson | Orthopaedic Surgery | 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 | 2014-05-21 |
| 1780001743 | Dr Adam Cramer Pllc | Clinic/Center | 104 W. 3rd St, Port Angeles, WA 98362 | 2014-03-27 |
| 1588089189 | Melanie Mccaughan | Counselor | 933 E First St, Port Angeles, WA 98362 | 2014-02-19 |
| Find all providers in zip 98362 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730574930 | Vladislav Abaturov | Nurse Practitioner | 4407 Fairmont Avenue, Port Angeles, WA 98363 | 2015-04-03 |
| 1629153606 | David John Kanters | Nurse Practitioner | 621 E Front St, Port Angeles, WA 98362-3319 | 2006-10-26 |
| 1518056357 | Hollie Rynerson Kaufman | Nurse Practitioner | 243511 West Hwy 101, Port Angeles, WA 98363-9472 | 2006-10-12 |
| 1508832700 | Susan Howland Roberts | Nurse Practitioner | 240 W Front St Ste A, Port Angeles, WA 98362-2609 | 2006-02-27 |
| 1710966163 | Steven E Walls | Nurse Practitioner | 1005 Georgiana St, Port Angeles, WA 98362-3917 | 2006-01-13 |
| 1780169466 | Anna Louise Keywood | Nurse Practitioner | 240 W Front St Ste A, Port Angeles, WA 98362-2609 | 2018-09-28 |
| 1356868202 | Alicia Marie Hedtke | Nurse Practitioner | 1114 Georgiana St, Port Angeles, WA 98362 | 2017-08-22 |
| 1073062238 | Caren Ellington | Nurse Practitioner | 907 Georgiana St, Port Angeles, WA 98362-3911 | 2016-09-29 |
| 1114470747 | Sherry Churchill | Nurse Practitioner | 243511 W Highway 101, Port Angeles, WA 98363-9472 | 2016-08-01 |
| 1033513502 | Lauren Kate Ballou | Nurse Practitioner | 240 W Front St, Ste A, Port Angeles, WA 98362-2609 | 2014-10-13 |
| Find all providers in PORT ANGELES | ||||
| City | PORT ANGELES |
| Zip Code | 98362 |
Please comment or provide details below to improve the information on MRS. MARCELLA WILDEMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.