MRS. MARCELLA WILDEMAN DNP FNP-BC NPI 1285185231

NPI Information

NPI: 1285185231
Provider Name: MRS. MARCELLA WILDEMAN, DNP, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
939 CAROLINE ST
PORT ANGELES, WA
ZIP 98362
Phone: (360) 582-2930
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MRS. Marcella Wildeman, DNP, FNP-BC is a family nurse practitioner in Port Angeles, WA. MRS. Marcella Wildeman, DNP, FNP-BC NPI is 1285185231. 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:

939 CAROLINE ST
PORT ANGELES, WA
ZIP 98362-909
Phone: (360) 582-2930

The NPI 1285185231 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 10/14/2016 and was last updated on 10/14/2016.

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	363LF0000X	Nurse Practitioner	Family	AP60701532	WASHINGTON	Yes

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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