NANCY WIEBKE APRN NPI 1881639235

NPI Information

NPI: 1881639235
Provider Name: NANCY WIEBKE, APRN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
THREE ST. ELIZABETH'S BLVD.
STE. 2800
O'FALLON, IL
ZIP 62269
Phone: (618) 233-6044
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Nancy Wiebke, APRN is an adult health nurse practitioner in O'fallon, IL. Nancy Wiebke, APRN NPI is 1881639235. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

THREE ST. ELIZABETH'S BLVD.
STE. 2800
O'FALLON, IL
ZIP 62269-099
Phone: (618) 233-6044
Fax: (833) 973-4218

The NPI 1881639235 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 3/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	209.000757	ILLINOIS	No
2	363LA2200X	Nurse Practitioner	Adult Health	209000757	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	500020298	OTHER	RR MEDICARE
2	P38294	OTHER	MERCY
3	101174	OTHER	HEALTH ALLIANCE
4	478882	OTHER	HEALTHLINK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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