Individual
NOELLE TERESE WANDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
520 SUPERIOR AVE STE 335, NEWPORT BEACH, CA 92663-3672
(949) 236-7900
Mailing address
520 SUPERIOR AVE STE 335, NEWPORT BEACH, CA 92663-3672
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
60027
CA
363AS0400X
Surgical Physician Assistant
Primary
60027
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2021
Last updated
04/28/2025
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