Angellun Vanessa Wilder in Shreveport - Military Health Care Provider
Angellun Vanessa Wilder - NPI 1346416096
Angellun Vanessa Wilder is a Military Health Care Provider in Shreveport, Louisiana. Angellun Vanessa Wilder practices all healthcare services and medical treatments related to Military Health Care Provider. The NPI Number for Angellun Vanessa Wilder is 1346416096. The last update date is 2008-05-02.
Angellun Vanessa Wilder's current location address is 4443 Pines Rd, Shreveport, Louisiana. You can contact this provider via phone number 3186313792. The mailing address for Angellun Vanessa Wilder is 4443 Pines Rd, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angellun Vanessa Wilder |
|---|---|
| Address | 4443 Pines Rd, Shreveport, Louisiana |
| Phone Number | 3186313792 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1346416096 |
|---|---|
| Provider Enumeration Date | 2008-05-02 |
| Last Updated Date | 2008-05-02 |
Provider Mailing Address Detail
| Address | 4443 Pines Rd |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711198505 |
| Phone Number | 3186313792 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Military Health Care Provider |
|---|---|
| Taxonomy | 171000000X |
| Licence No | 2176 |
|
Definition: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Angellun Vanessa Wilder by the Centers for Medicare & Medicaid Services?
The Angellun Vanessa Wilder has been issued the NPI (National Provider Identifier) 1346416096, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Angellun Vanessa Wilder?
The Angellun Vanessa Wilder is physically situated at 4443 Pines Rd, in the city of Shreveport, state of LA, with the postal code 711198505.
What is Angellun Vanessa Wilder's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Angellun Vanessa Wilder's specialized field of practice is Military Health Care Provider, and the corresponding taxonomy code that categorizes this area of specialization is 171000000X.
On what date did Angellun Vanessa Wilder receive its 1346416096 assignment from the Centers for Medicare & Medicaid Services?
The Angellun Vanessa Wilder was assigned its 1346416096 on 2008-05-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Angellun Vanessa Wilder, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Angellun Vanessa Wilder, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-05-02.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH
NPI Number: 1528061124
Address: 2800 Willow Grove Rd, Manhattan, KS
NPI Number: 1285637884
Address: 1502 E Centennial Dr, Pittsburg, KS
NPI Number: 1336142702
Address: 1881 Telegraph Rd, Rising Sun, MD