Marlene Mary Wilson in Beech Grove - Family
Marlene Mary Wilson - NPI 1013062009
Marlene Mary Wilson is a Family in Beech Grove, Indiana. Marlene Mary Wilson practices all healthcare services and medical treatments related to Family. The NPI Number for Marlene Mary Wilson is 1013062009. The last update date is 2023-03-07.
Marlene Mary Wilson's current location address is Po Box 100, Beech Grove, Indiana. You can contact this provider via phone number 3178591090 and fax number 3179417254. The mailing address for Marlene Mary Wilson is Po Box 100, Beech Grove, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marlene Mary Wilson |
|---|---|
| Address | Po Box 100, Beech Grove, Indiana |
| Phone Number | 3178591090 |
| Fax Number | 3179417254 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1013062009 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | Po Box 100 |
|---|---|
| City | Beech Grove |
| State | Indiana (IN) |
| Post Code | 461070100 |
| Phone Number | 3178591090 |
| Fax Number | 3179417254 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 71000629A |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 545372 | IN | ANTHEM | |
| 28086560A | IN | RN LICENSE | |
| 33846 | IN | M PLAN | |
| P00303828 | IN | RAILROAD MEDICARE | |
| 11533126 | IN | CAQH | |
| 71000629B | IN | CSR | |
| 200509870 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Marlene Mary Wilson by the Centers for Medicare & Medicaid Services?
The Marlene Mary Wilson has been assigned the NPI (National Provider Identifier) 1013062009. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Marlene Mary Wilson located?
The Marlene Mary Wilson is located at Po Box 100, Beech Grove, IN 461070100.
What is Marlene Mary Wilson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Marlene Mary Wilson is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.
On what date did the Marlene Mary Wilson receive the assignment of its 1013062009 from the Centers for Medicare & Medicaid Services?
The Marlene Mary Wilson was issued its 1013062009 by the Centers for Medicare & Medicaid Services on 2007-01-23.
As of what date were the Marlene Mary Wilson's details last updated?
The information pertaining to the Marlene Mary Wilson, including its address, specialty, and other details, was most recently updated on 2023-03-07.