Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LISA A WENTLING, PA-C
ActiveMRS. LISA A WENTLING, PA-C is a Family Medicine healthcare provider located in CIMARRON, New Mexico. NPI 1083885560 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CIMARRON, NM
Registration Details
- NPI Number
- 1083885560
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 12, 2008 (18.421765553637 yrs)
- Last Updated
- Oct 31, 2023
- Licenses
-
2008-0063 (NM)C0002467 (MD)PA2008-0063 (NM)
Practice Information
- Address
-
31039 HWY 64 # BCIMARRON, NM, 877149646Browse NM providers · Browse ZIP 87714
- Phone
- 5753762402
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Family Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.