MR. IAN VANDERWOUDE PA-C MSPAS NPI 1851686414

NPI Information

NPI: 1851686414
Provider Name: MR. IAN VANDERWOUDE, PA-C, MSPAS
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
9210 GOLF COURSE RD NW
ALBUQUERQUE, NM
ZIP 87114
Phone: (505) 899-3933
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MR. Ian Vanderwoude, PA-C, MSPAS is a medical physician assistant in Albuquerque, NM. MR. Ian Vanderwoude, PA-C, MSPAS NPI is 1851686414. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9210 GOLF COURSE RD NW
ALBUQUERQUE, NM
ZIP 87114-891
Phone: (505) 899-3933

The enumeration date for this NPI number is 6/12/2011 and was last updated on 6/12/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA2011-0015	NEW MEXICO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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