Wayne Wrolstad
Nurse's Aide in Broomall, PA. Individual provider (NPI-1).
NPI number1013393370
StatusActive
Last updated in NPPESAug 9, 2015
Details
- NPI
- 1013393370
- Entity type
- Individual (NPI-1)
- Name
- Wayne Wrolstad
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 9, 2015
- Last updated
- Aug 9, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | 28133601 | PA | Yes |
| 163WG0000X | Registered Nurse, General Practice | 28133601 | PA | |
| 3747P1801X | Technician, Personal Care Attendant | 28133601 | PA | |
| 374U00000X | Home Health Aide | 28133601 | PA |
Practice location
7 Madonna LnBroomall, PA 19008-2264
Phone 610-804-0336
Mailing address
3605 Chapel RdUnit C
Newtown Square, PA 19073-3602
Phone 610-766-7222 · Fax 610-766-7205
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