Nicole Dianne Wydra, PA-C
Nicole Dianne Wydra, PA-C is a Physician Assistant in Corvallis, Oregon. Graduated from Loma Linda University School of Medicine in 2010, 16 years ago. Practices with Brune Dermatology, LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Oregon.
- Years since qualifying
- 16
- Trained at
- Loma Linda University School of Medicine
- Licensed in
- OR
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
1740 NW 9th StCorvallis, OR 97330-2141
Phone: (541) 230-1350
Fax: (541) 207-3477
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence PA153450 (OR) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
Record details
| NPI number | 1962514836 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | August 31, 2006 |
| Last updated in NPPES | November 3, 2015 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2010 (16 years in practice) |
| Group practice | Brune Dermatology, Llc — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Corvallis
-
Eric Cameron Stroud, PA-C
981 NW Spruce Ave, Corvallis, OR 97330-2111 · (541) 758-0766
-
Mr. Roland Balazs Szemerei
3680 NW Samaritan Dr, Corvallis, OR 97330-3737 · (541) 754-1150
-
MS. Zoryana N Thompson, PA-C
400 NW Walnut Blvd Ste 300, Corvallis, OR 97330-3876 · (541) 768-4680
-
Kelsey Pearl Williams, PA
3615 NW Samaritan Dr Ste 203, Corvallis, OR 97330-3771 · (693) 054-1768