Individual
WENDY CLIFTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8901 W DODGE RD, OMAHA, NE 68114-3327
(402) 354-8990
(402) 354-8995
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
573
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47068731734
—
NE
05
—
47068731741
—
NE
05
—
47068731749
—
NE
05
—
47068731798
—
NE
Enumeration date
01/25/2007
Last updated
04/17/2015
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