WANDA L VANDERWYST PA
NPI 1629107412
Physician Assistant - Medical in Appleton, WI

Q: What is Wanda Vanderwyst's NPI number?

The NPI number for Wanda Vanderwyst is 1629107412. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Q: What is Wanda Vanderwyst's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Wanda Vanderwyst was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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 March 05, 2007

1818 N MEADE ST, APPLETON, WI 54911(920) 749-4000(920) 749-4015 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Wanda L Vanderwyst Pa NPPES

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

WANDA L VANDERWYST PA (NPI 1629107412) is an individual medical provider in Appleton, Wisconsin, licensed in Wisconsin (254) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1629107412

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameWANDA L VANDERWYSTCredential: PA

Location Address1818 N MEADE STAppleton, WI 54911-3454

Mailing Address1818 N Meade StAppleton, WI 54911-3454 · (920) 749-4000 · Fax (920) 749-4015

Phone(920) 749-4000

Fax(920) 749-4015

Sole ProprietorNo

Enumeration DateMarch 5, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1629107412 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 WI · 254

1818 N MEADE ST, Appleton, WI 54911

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Other Identifiers 1

Medicaid42923600WI

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.

MRS. THERESA ANN HAGMAN PTA

Physical Therapy Assistant

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-4101

HANNA ROSE SIPPEL PA

Physician Assistant

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-4101

ANN M HEFTER AGACNP-BC, MSN, BSN

Nurse Practitioner

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-8900

DESSIA J LAXTON APNP

Nurse Practitioner

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-8900

MISS AMBER LYNN NEVALA CST

Specialist/Technologist, Other (Surgical Assistant)

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (906) 280-5495

DAVID MICHAEL DENELL MPT LAT/C

Physical Therapist

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-4101

PHILIP ANTHONY VOGT MD

Surgery

1818 N MEADE ST, STE 240- WEST
APPLETON, WI 54911

Outagamie County (920) 731-8289

SYED TAIMUR ALI M.D.

Hospitalist

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-4101

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 Wanda Vanderwyst's NPI number?

The NPI number for Wanda Vanderwyst is 1629107412. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Wanda Vanderwyst located?

Wanda Vanderwyst practices at 1818 N Meade St, Appleton, WI 54911. The listed phone number is (920) 749-4000.

What is Wanda Vanderwyst's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Wanda Vanderwyst was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.