Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE DIANNE WYDRA, PA-C
ActiveNICOLE DIANNE WYDRA, PA-C is a Medical Physician Assistant healthcare provider located in CORVALLIS, Oregon. NPI 1962514836 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · CORVALLIS, OR
Registration Details
- NPI Number
- 1962514836
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 31, 2006 (19.910422508167 yrs)
- Last Updated
- Nov 3, 2015
- License
-
PA153450 (OR)
Practice Information
- Address
-
1740 NW 9TH STCORVALLIS, OR, 973302141Browse OR providers · Browse ZIP 97330
- Phone
- 5412301350
- Fax
- 5412073477
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Physician Assistant
Other Medical Physician Assistant Providers in CORVALLIS, OR
| Name | Credential | NPI |
|---|---|---|
| ERIC CAMERON STROUD | PA-C | 1881670511 |
| REGINA M. FIACCO | PA-C | 1518934751 |
| MRS. ANGELA FAYE BEAN | PA-C | 1578507547 |
| MS. LISA RENE ARANETA | PA-C | 1225061963 |
| MICHAEL J MCCUSKER | P. A.-C | 1013096684 |
| MS. ZORYANA N THOMPSON | PA-C | 1285815985 |
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.