Provider Demographics
NPI:1861622482
Name:WAYLAND, MARGUERITE DONNA (APRN, FNP-C)
Entity type:Individual
Prefix:MS
First Name:MARGUERITE
Middle Name:DONNA
Last Name:WAYLAND
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:MS
Other - First Name:MARGUERITE
Other - Middle Name:DONNA
Other - Last Name:PEARSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1016 W WEDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-6252
Mailing Address - Country:US
Mailing Address - Phone:509-939-9730
Mailing Address - Fax:
Practice Address - Street 1:1055 W FAIRVIEW ST STE B
Practice Address - Street 2:
Practice Address - City:COLFAX
Practice Address - State:WA
Practice Address - Zip Code:99111-5106
Practice Address - Country:US
Practice Address - Phone:509-397-5740
Practice Address - Fax:509-397-4713
Is Sole Proprietor?:No
Enumeration Date:2009-07-16
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60041199163WG0100X
WAAP60081453363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WG0100XNursing Service ProvidersRegistered NurseGastroenterology
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily