JOHDINANN MARSHA OLIVE HARTLEY WACLAWSKI PAS
NPI 1013731124
Physician Assistant in Traverse City, MI

Active since November 14, 2024
2200 DENDRINOS DRIVE, SUITE 102, TRAVERSE CITY, MI 49684(616) 331-5700(616) 331-5999 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Johdinann Marsha Olive Hartley Waclawski Pas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHDINANN MARSHA OLIVE HARTLEY WACLAWSKI PAS (NPI 1013731124) is an individual physician assistant in Traverse City, Michigan and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1013731124
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJOHDINANN MARSHA OLIVE HARTLEY WACLAWSKICredential: PAS
Location Address2200 DENDRINOS DRIVE, SUITE 102Traverse City, MI 49684
Mailing Address1 Campus Drive, 2015 James H. Zumberge HallAllendale, MI 49401-9403 · (616) 331-5700 · Fax (616) 331-5999
Fax(616) 331-5999
Sole ProprietorNo
Enumeration DateNovember 14, 2024
NPPES CertifiedNovember 14, 2024
NPI 1013731124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2200 DENDRINOS DRIVE, Traverse City, MI 49684

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johdinann Hartley Waclawski's NPI number?

The NPI number for Johdinann Hartley Waclawski is 1013731124. It was assigned to this individual provider in the NPPES registry on November 14, 2024.

Where is Johdinann Hartley Waclawski located?

Johdinann Hartley Waclawski practices at 2200 Dendrinos Drive Suite 102, Traverse City, MI 49684. The listed phone number is (616) 331-5700.

What is Johdinann Hartley Waclawski's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Johdinann Hartley Waclawski was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.