Provider Demographics
NPI:1386821254
Name:VANSKIVER, WENDY MARIE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:MARIE
Last Name:VANSKIVER
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:1336 W A ST
Mailing Address - Street 2:STE. A
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68522-1231
Mailing Address - Country:US
Mailing Address - Phone:402-438-0101
Mailing Address - Fax:402-817-1245
Practice Address - Street 1:1336 W A ST
Practice Address - Street 2:STE. A
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68522-1231
Practice Address - Country:US
Practice Address - Phone:402-438-0101
Practice Address - Fax:402-817-1245
Is Sole Proprietor?:No
Enumeration Date:2008-01-23
Last Update Date:2015-08-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE1358363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant