NELLA WENNBERG (NPI# 1144310673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144310673 |
| Entity Type | Individual |
| Full Name | NELLA WENNBERG |
| Credential | PA-C |
| Practice Address |
555 Washington Hwy Morrisville VT 05661-8972 |
| Mailing Address |
297 Ruby Raymond Rd Waterbury Center VT 05677-8087 |
| Practice Telephone | 8028888405 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2012-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
055-0030573 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
555 WASHINGTON HWY |
| City | MORRISVILLE |
| State | VT |
| Zip Code | 05661-8972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376587634 | Copley Hospital, Inc. | Orthopaedic Surgery | 555 Washington Hwy, Morrisville, VT 05661-8973 | 2006-06-16 |
| 1679103592 | Ashley Elaine Whalen | Physical Therapist | 555 Washington Hwy, Morrisville, VT 05661-8972 | 2020-01-20 |
| 1043781552 | Kristen Katharina Glick | Physician Assistant | 555 Washington Hwy, Morrisville, VT 05661 | 2018-12-10 |
| 1750834651 | Mae Foster Hickory | Nurse Practitioner | 555 Washington Hwy, Morrisville, VT 05661-8972 | 2016-07-27 |
| 1184084006 | Janessa Vandette | Physician Assistant | 555 Washington Hwy, Morrisville, VT 05661-8972 | 2016-03-04 |
| 1316289952 | Stuart David Sutherland | Physician Assistant | 555 Washington Hwy, Morrisville, VT 05661-8972 | 2013-03-21 |
| 1720338536 | Margaret Rowell | Registered Nurse | 555 Washington Hwy, Morrisville, VT 05661-8972 | 2012-09-19 |
| 1740339365 | Joseph Stephens Mclaughlin | Orthopaedic Surgery | 555 Washington Hwy, Morrisville, VT 05661-8972 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972161958 | Sara Davis | Dentist | 65 Northgate Ave #11, Morrisville, VT 05661 | 2019-06-04 |
| 1326587296 | Michelle Yando | Student in an Organized Health Care Education/Training Program | 610 Morristown Corners Rd, Morrisville, VT 05661 | 2017-02-13 |
| 1174993273 | Kristine Kupcha | Counselor | 379 Washington Highway, Morrisville, VT 05661 | 2015-10-01 |
| 1639549942 | Joanne Mcgrath | Counselor | 72 Harrel Street, Morrisville, VT 05661 | 2015-09-29 |
| 1245615814 | Therapeutic Counseling and Consulting Services LLC | Counselor | 34 Pleasant St Ste 2, Morrisville, VT 05661 | 2015-07-24 |
| 1407243272 | Vermont Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 13 Vermont 15 East, Morrisville, VT 05661 | 2015-04-20 |
| 1487058137 | Morrisville Family Dental, Plc | Dentist | 5 Park St., Suite 365, Morrisville, VT 05661 | 2014-10-09 |
| 1861809543 | Breanna Hart | Psychologist | 607 Washington Higway, Morrisville, VT 05661 | 2014-07-15 |
| 1770843575 | Chloe Tartaglia | Family Medicine | 577 Washington Hwy, Morrisville, VT 05661 | 2012-05-25 |
| 1770871832 | Carol Lehmann | Occupational Therapist | 74 Portland Street, Suite B, Morrisville, VT 05661 | 2011-07-11 |
| Find all providers in zip 05661 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891963179 | Nicole Ernst | Physician Assistant | 555 Washington Highway, Mansfield Orthopedics @ Copley, Morrisville, VT 05661-8972 | 2008-02-20 |
| 1265507545 | Alexis K. Gagne | Physician Assistant | 528 Washington Hwy, Morrisville, VT 05661-8973 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811200710 | Jessica Anne White | Physician Assistant | 25 Ridgewood Rd., Esne, Springfield, VT 05156 | 2010-07-20 |
| 1861457806 | Kathleen Thayer Maloney | Physician Assistant | Fahc, 111 Colchester Ave, Burlington, VT 05401-1063 | 2006-04-20 |
| 1538708789 | Sarah Allison Mccabe | Physician Assistant | 1315 Hospital Dr, Saint Johnsbury, VT 05819-9210 | 2020-01-04 |
| 1255849840 | Lisa Ann Eberwein | Physician Assistant | 6 Commons St, Rutland, VT 05701-4651 | 2018-01-17 |
| 1760922454 | Kyle C Craven | Physician Assistant | 111 Colchester Ave, Burlington, VT 05401-1473 | 2017-03-01 |
| 1669911483 | Jennifer A. O'connor | Physician Assistant | 192 Tilley Dr., Uvm Medical Center - Ortho/spine, S. Burlington, VT 05403 | 2017-02-13 |
| 1073973236 | Jennifer K Winings | Physician Assistant | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-03-02 |
| 1972935385 | Timothy Michael Balise | Physician Assistant | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2013-08-07 |
| 1396089751 | Michael P. Higgins | Physician Assistant | 111 Colchester Ave, Uvm Medical Center - Surgery/ct & Trauma, Burlington, VT 05401-1473 | 2012-11-23 |
| 1891086518 | Sara T. Child | Physician Assistant | 6 San Remo Dr., Uvm Medical Center - Orthopedics, S. Burlington, VT 05403-6310 | 2011-04-28 |
| Find all providers with the same taxonomy | ||||
| City | MORRISVILLE |
| Zip Code | 05661 |
Please comment or provide details below to improve the information on NELLA WENNBERG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.