CAROL L COSTON PA-C
NPI 1174568737
Physician Assistant - Medical in Wenatchee, WA

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

Active since June 18, 2006

820 N CHELAN AVE, WENATCHEE, WA 98801(509) 663-8711 Get Directions Write a Review

NPPES record last updated: December 15, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Carol L Coston Pa-c NPPES

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

CAROL L COSTON PA-C (NPI 1174568737) is an individual medical provider in Wenatchee, Washington, licensed in Washington (PA10003259) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1174568737

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameCAROL L COSTONCredential: PA-C

Location Address820 N CHELAN AVEWenatchee, WA 98801-2028

Mailing Address820 N Chelan AveWenatchee, WA 98801-2028

Phone(509) 663-8711

Sole ProprietorNo

Enumeration DateJune 18, 2006

Last NPPES UpdateDecember 15, 2014

✔ NPI 1174568737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in WA · PA10003259

820 N CHELAN AVE, Wenatchee, WA 98801

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Other Identifiers 4

Medicaid8383234WA

Medicare UPINS27262WA

Medicare PING319209801WA

Other127398WA · L&i

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

J MAKRINA SHANBOUR MD

Internal Medicine