ILI WATHEN PA-C
NPI 1063722577
Physician Assistant in Waldorf, MD
About Ili Wathen Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ILI WATHEN PA-C (NPI 1063722577) is an individual physician assistant in Waldorf, Maryland, licensed in Maryland (C0004349) and active in the NPI registry since October 2010.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ili Wathen's NPI number?
The NPI number for Ili Wathen is 1063722577. It was assigned to this individual provider in the NPPES registry on October 18, 2010.
Where is Ili Wathen located?
Ili Wathen practices at 3500 Old Washington Rd Ste 201, Waldorf, MD 20602. The listed phone number is (301) 396-2003.
What is Ili Wathen'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 Ili Wathen was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.