Brenda Wakham in Gulfport - Nurse Practitioner
Brenda Wakham - NPI 1437267119
Brenda Wakham is a Nurse Practitioner in Gulfport, Mississippi. Brenda Wakham practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Brenda Wakham is 1437267119. The last update date is 2019-01-14.
Brenda Wakham's current location address is 4500 13th St, Gulfport, Mississippi. You can contact this provider via phone number 2288674000. The mailing address for Brenda Wakham is 4500 13th St, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda Wakham |
|---|---|
| Address | 4500 13th St, Gulfport, Mississippi |
| Phone Number | 2288674000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CFNP |
NPI Number Detail
| NPI Number | 1437267119 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2019-01-14 |
Provider Mailing Address Detail
| Address | 4500 13th St |
|---|---|
| City | Gulfport |
| State | Mississippi (MS) |
| Post Code | 395012569 |
| Phone Number | 2288674000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | R702285 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7051371 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brenda Wakham by the Centers for Medicare & Medicaid Services?
The Brenda Wakham has been assigned the NPI (National Provider Identifier) 1437267119. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Brenda Wakham?
The Brenda Wakham is physically situated at 4500 13Th St, in the city of Gulfport, state of MS, with the postal code 395012569.
What is Brenda Wakham's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brenda Wakham's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date did the Brenda Wakham receive its 1437267119 assignment from the Centers for Medicare & Medicaid Services?
The Brenda Wakham was assigned its 1437267119 by the Centers for Medicare & Medicaid Services on 2006-08-25.
As of what date was the information pertaining to Brenda Wakham, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Brenda Wakham, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-01-14.
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