DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WANDA SANTOS CIULLA, PHYSICIAN ASSISTANT

Active

WANDA SANTOS CIULLA, PHYSICIAN ASSISTANT is a Medical Physician Assistant healthcare provider located in PARIS, Illinois. NPI 1417460833 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · PARIS, IL

Registration Details

NPI Number
1417460833
Provider Type
Individual
Gender
Female
NPI Issued
Nov 7, 2017 (8.7253974968152 yrs)
Last Updated
Nov 7, 2017
Licenses
085000243 (NY)
085000243 (NY)
085000243 (NY)
085000243 (IL)
085000243 (NY)

Practice Information

Address
509 S MAIN ST
PARIS, IL, 619442325
Browse IL providers · Browse ZIP 61944
Phone
2174658053
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Physician Assistant
Additional Specialty
Preventive Medicine
Additional Specialty
Medical Physician Assistant
Additional Specialty
Medical Physician Assistant
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.