Wayne Wrolstad

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

28133601 Issued in PA

Practice address

7 Madonna LN
Broomall, PA 19008-2264

Phone

(610) 804-0336

NPI assigned

Aug 9, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439078400000",
    "number": "1013393370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 CHAPEL RD",
            "address_2": "UNIT C",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733602",
            "telephone_number": "610-766-7222",
            "fax_number": "610-766-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MADONNA LN",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190082264",
            "telephone_number": "610-804-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WROLSTAD",
        "first_name": "WAYNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-09",
        "last_updated": "2015-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "PA",
            "license": "28133601",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "PA",
            "license": "28133601",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "PA",
            "license": "28133601",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "PA",
            "license": "28133601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savanah Wilt, OCULARIST
• Taylor Marie Winslow, MSOT
• Samantha Rose Witte
• Carolyn Marie Witzke, PA-C
• Daniel L Wolk, M.D.
• Lynn Yang, MD
• Mamatha Yeturu, M.D.
• Alison Yez, CRNP
• James T Young, DPT
• Jill Jani Yousif, COTA/L

• Nurse's Aide in Broomall, PA
• Providers in Broomall, PA by specialty
• Nurse's Aide in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.