Individual
WENDY CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
888 S RANCHO DR, URGENT CARE, LAS VEGAS, NV 89106-3810
(702) 877-8600
(702) 258-6152
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 838-8265
(702) 804-3788
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1184
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700930302
—
NV
01
—
P00915410
RAILROAD MEDICARE
NV
Enumeration date
01/22/2007
Last updated
06/28/2018
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