Ili Wathen, PA-C

NPI 1063722577 · on the registry since 2010

Practice

Address: 3500 Old Washington Rd Ste 201
Waldorf, MD 20602
Phone: (301) 396-2003
Fax: (240) 222-3134
Organisation at this address: Krishan M Mathur Md
Neurology Office, Pc
Arthritis Clinic, Pc
Open Smiles Dental Llc
Don J. Fontana, M.D. Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 24

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: MD
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-07-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland