Wanda Ikeda is a Acute Care in Tupelo, Mississippi. Wanda Ikeda practices all healthcare services and medical treatments related to Acute Care. The NPI Number for Wanda Ikeda is 1013114677. The last update date is 2018-03-17.
Wanda Ikeda's current location address is 499 Gloster Creek Vlg Ste A2, Tupelo, Mississippi. You can contact this provider via phone number 6626206800 and fax number 6623772403. The mailing address for Wanda Ikeda is 499 Gloster Creek Vlg Ste A2, Tupelo, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wanda Ikeda |
|---|---|
| Address | 499 Gloster Creek Vlg Ste A2, Tupelo, Mississippi |
| Phone Number | 6626206800 |
| Fax Number | 6623772403 |
| Sole Proprietor | N |
| Credentials | ACNP |
NPI Number Detail
| NPI Number | 1013114677 |
|---|---|
| Provider Enumeration Date | 2007-06-28 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 499 Gloster Creek Vlg Ste A2 |
|---|---|
| City | Tupelo |
| State | Mississippi (MS) |
| Post Code | 388014749 |
| Phone Number | 6626206800 |
| Fax Number | 6623772403 |
Provider's Primary Taxonomy Detail
| Speciality | Acute Care |
|---|---|
| Taxonomy | 363La2100X |
| Licence No | R696196 |
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Definition: An advanced practice registered nurse expert in providing care to adults and older children with complex acute, critical, and chronic health conditions. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Wanda Ikeda?
The Wanda Ikeda has been issued the NPI (National Provider Identifier) 1013114677 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Wanda Ikeda is physically located?
The Wanda Ikeda is physically situated at the following address: 499 Gloster Creek Vlg Ste A2, Tupelo, MS, 388014749.
What is Wanda Ikeda's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Wanda Ikeda's specialized field of practice is Acute Care, and the corresponding taxonomy code that categorizes this area of specialization is 363La2100X.
When was the Wanda Ikeda's 1013114677 issued?
The Wanda Ikeda's 1013114677 was issued on 2007-06-28.
As of what date were the details related to Wanda Ikeda most recently updated or revised?
The information pertaining to Wanda Ikeda, including its address, specialty, and other relevant details, was last updated or revised on 2018-03-17.
NPI Number: 1942206313
Address: 1250 N Wenatchee Ave Suite H Pmb 352, Wenatchee, WA