Wanda Althea Wilburn in Apple Valley - Specialist
Wanda Althea Wilburn - NPI 1639245806
Wanda Althea Wilburn is a Specialist in Apple Valley, California. Wanda Althea Wilburn practices all healthcare services and medical treatments related to Specialist. The NPI Number for Wanda Althea Wilburn is 1639245806. The last update date is 2011-12-01.
Wanda Althea Wilburn's current location address is 16000 Apple Valley Rd, Apple Valley, California. You can contact this provider via phone number 7609463806 and fax number 7609463809. The mailing address for Wanda Althea Wilburn is 16000 Apple Valley Rd, Apple Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wanda Althea Wilburn |
|---|---|
| Address | 16000 Apple Valley Rd, Apple Valley, California |
| Phone Number | 7609463806 |
| Fax Number | 7609463809 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1639245806 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2011-12-01 |
Provider Mailing Address Detail
| Address | 16000 Apple Valley Rd |
|---|---|
| City | Apple Valley |
| State | California (CA) |
| Post Code | 923077814 |
| Phone Number | 7609463806 |
| Fax Number | 7609463809 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A84253 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A842530 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Wanda Althea Wilburn by the Centers for Medicare & Medicaid Services (CMS)?
The Wanda Althea Wilburn has been assigned the NPI (National Provider Identifier) 1639245806. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Wanda Althea Wilburn's facilities are situated?
The facilities of Wanda Althea Wilburn are physically located at the following address: 16000 Apple Valley Rd, Apple Valley, CA, 923077814.
What is Wanda Althea Wilburn's specialized field of practice, and what is the corresponding taxonomy classification code?
The Wanda Althea Wilburn's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did Wanda Althea Wilburn receive its 1639245806 assignment from the Centers for Medicare & Medicaid Services?
The Wanda Althea Wilburn was assigned its 1639245806 on 2006-11-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Wanda Althea Wilburn last refreshed?
The information related to the Wanda Althea Wilburn, including its address, specialty, and other relevant details, was last updated on 2011-12-01.
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