Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wanda L Vanderwyst, PA

Individual provider Medical Physician Assistant · NPI 1629107412

Wanda L Vanderwyst, PA is a Medical Physician Assistant in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1818 N Meade St
Appleton, WI 54911-3454
Phone: (920) 749-4000
Fax: (920) 749-4015
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 254 (WI)

Record details

NPI number1629107412
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 5, 2007
Last updated in NPPESJuly 8, 2007

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