Wanda Jean Nelson, N.P.

Individual provider Active NPI Family Nurse Practitioner · College Place, WA

NPI 1801008743 · NPPES record last updated Jun 18, 2021

Key facts

NPI
1801008743
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
AP30005582 (WA)
Practice address
133 S College Ave
Suite 101
College Place, WA 99324-1193
Phone
(509) 527-2425
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wwu Campus Health & Wellness Past Accepting new patients
Providence Health & Services - Washington Past
since Jan 21, 2019
Accepting new patients
Walla Walla General Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: wnelson1002034@wm.providencedirect.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP30005582 WA Yes

Addresses

Primary practice location

133 S College Ave
Suite 101
College Place, WA 99324-1193

Mailing address

133 S. College Ave
Suite 101
College Place, WA 99324
Phone (509) 527-2425

Other practice location 1

295 S College Ave Ste 1
College Place, WA 99324-1151
Phone (509) 897-3690

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address wnelson1002034@wm.providencedirect.org Direct

Other providers in College Place, WA

All providers in College Place, WA · Family Nurse Practitioner in Washington

Sources for this page

Verify at the official NPI Registry.