WISNADA DORESTAN
NPI 1467271197
Nurse Practitioner - Family in Pottstown, PA

Q: What is Wisnada Dorestan's NPI number?

The NPI number for Wisnada Dorestan is 1467271197. It was assigned to this individual provider in the NPPES registry on October 9, 2024.

Q: What is Wisnada Dorestan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Wisnada Dorestan was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since October 09, 2024

444 N MOUNT VERNON ST, POTTSTOWN, PA 19464(610) 504-9217 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 28, 2025, Oct 9, 2024 (2 updates tracked since 2024).

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About Wisnada Dorestan NPPES

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

WISNADA DORESTAN (NPI 1467271197) is an individual family provider in Pottstown, Pennsylvania, licensed in New York (F355195) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1467271197

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameWISNADA DORESTAN

Location Address444 N MOUNT VERNON STPottstown, PA 19464-4431

Mailing Address121 Fleming StBlandon, PA 19510-9597 · (610) 504-9217

Phone(610) 504-9217

Sole ProprietorYes

Enumeration DateOctober 9, 2024

Last NPPES UpdateFebruary 28, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2025

✔ NPI 1467271197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · F355195

444 N MOUNT VERNON ST, Pottstown, PA 19464

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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 Wisnada Dorestan's NPI number?

The NPI number for Wisnada Dorestan is 1467271197. It was assigned to this individual provider in the NPPES registry on October 9, 2024.

Where is Wisnada Dorestan located?

Wisnada Dorestan practices at 444 N Mount Vernon St, Pottstown, PA 19464. The listed phone number is (610) 504-9217.

What is Wisnada Dorestan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Wisnada Dorestan was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.