Individual provider · Type 1 NPI

Raetta Lynn Wentz, PA-C

Medical Physician Assistant · Bridgeport, WV

NPI number 1740508779 Active

Practice location

1370 Johnson Ave
Bridgeport, WV 26330-1492

Fax (304) 842-2533

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X00552 (WV)

Medical Physician Assistant: Definition to come...

10 other providers at this address

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About NPI 1740508779

Raetta Lynn Wentz, PA-C's National Provider Identifier is 1740508779, issued on May 14, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bridgeport, WV. The record was last updated on Apr 21, 2022.