Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAETTA LYNN WENTZ, PA-C
ActiveRAETTA LYNN WENTZ, PA-C is a Medical Physician Assistant healthcare provider located in BRIDGEPORT, West Virginia. NPI 1740508779 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BRIDGEPORT, WV
Registration Details
- NPI Number
- 1740508779
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 14, 2010 (16.070029868593 yrs)
- Last Updated
- Apr 21, 2022
- License
-
00552 (WV)
Practice Information
- Address
-
1370 JOHNSON AVEBRIDGEPORT, WV, 263301492Browse WV providers · Browse ZIP 26330
- Phone
- 3048427186
- Fax
- 3048422533
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in BRIDGEPORT, WV
| Name | Credential | NPI |
|---|---|---|
| MRS. SUSAN ANNETTE ABRUZZINO | PAC | 1912930298 |
| MRS. KAUFMANN LESLIE KAUFMANN | — | 1609890789 |
| PATRICIA LYNN ROSS | MPA | 1235284886 |
| MR. BILLY J BRAGG | — | 1144376732 |
| MS. LAURA E POTESTA | PAC | 1558636274 |
| SALVATORE MARINO | PA-C | 1700139045 |
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.