Healthcare Provider Details

I. General information

NPI: 1730911710
Provider Name (Legal Business Name): ARYANA J WING PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2024
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 ONEIDA VALLEY RD STE 400
BUTLER PA
16001-2251
US

IV. Provider business mailing address

127 ONEIDA VALLEY RD STE 400
BUTLER PA
16001-2251
US

V. Phone/Fax

Practice location:
  • Phone: 866-620-6761
  • Fax: 724-282-3043
Mailing address:
  • Phone: 866-620-6761
  • Fax: 724-282-3043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA065724
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: