Wynchrister Enriquez
Individual provider Active NPI Pediatrics Physician · Pago Pago, AS
NPI 1659019057 · NPPES record last updated May 25, 2022
Key facts
- NPI
- 1659019057
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 4137C (AS)
- Practice address
- 11155 Turner Drive
Pago Pago, AS 96799-0010 - Phone
- (684) 633-1222
- Fax
- (684) 633-1869
- NPI assigned
- May 25, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4137C | AS | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4137C | AS | Yes |
Addresses
Primary practice location
11155 Turner Drive
Pago Pago, AS 96799-0010
Mailing address
PO Box LBJ
Pago Pago, AS 96799-0010
Phone (684) 633-1222
Other providers in Pago Pago, AS
- Department of Search and Rescue (Sar)
- Nestor Devesi
- Randel Kevin Dewees
- Petueli Emose
- Empowering Pacific Island Communities
- Rubie Anne Espinosa
- Manuel F Fernandez
- Saipale Fuimaono
- Tafou Aso Fuiono
- Sam Eroni Fullman
All providers in Pago Pago, AS · Pediatrics Physician in American Samoa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.