Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DESTINY TIERRA NOEL
Active Sole ProprietorDESTINY TIERRA NOEL is a Physician Assistant healthcare provider located in TOPPENISH, Washington. NPI 1265178925 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · TOPPENISH, WA
Registration Details
- NPI Number
- 1265178925
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 6, 2022 (4.2306181882909 yrs)
- Last Updated
- Dec 27, 2022
- Licenses
-
2650 (WV)PA61366379 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
510 W 1ST AVETOPPENISH, WA, 989481564Browse WA providers · Browse ZIP 98948
- Phone
- 5098655600
- Fax
- 5098655783
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in TOPPENISH, WA
| Name | Credential | NPI |
|---|---|---|
| MR. ILAN E WILDE | PAC | 1265489801 |
| MICHELLE WOMACK | — | 1972679983 |
| ANGELA LEE BOSMA | PA | 1992251623 |
| JESSICA MARIE AHERN | — | 1275041220 |
| MARTIN FLORES | — | 1528540036 |
| KAITLYN MENDIOLA | — | 1124595814 |
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.