Bernice Joann Wilder in Travis Afb - Psychiatric/mental Health
Bernice Joann Wilder - NPI 1770577322
Bernice Joann Wilder is a Psychiatric/mental Health in Travis Afb, California. Bernice Joann Wilder practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Bernice Joann Wilder is 1770577322. The last update date is 2019-05-03.
Bernice Joann Wilder's current location address is 101 Bodin Circle, Travis Afb, California. You can contact this provider via phone number 7074235174 and fax number 7074235144. The mailing address for Bernice Joann Wilder is 101 Bodin Circle, Travis Afb, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bernice Joann Wilder |
|---|---|
| Address | 101 Bodin Circle, Travis Afb, California |
| Phone Number | 7074235174 |
| Fax Number | 7074235144 |
| Sole Proprietor | N |
| Credentials | DNP, ARNP, |
NPI Number Detail
| NPI Number | 1770577322 |
|---|---|
| Provider Enumeration Date | 2005-09-09 |
| Last Updated Date | 2019-05-03 |
Provider Mailing Address Detail
| Address | 101 Bodin Circle |
|---|---|
| City | Travis Afb |
| State | California (CA) |
| Post Code | 94535 |
| Phone Number | 7074235174 |
| Fax Number | 7074235144 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health |
|---|---|
| Taxonomy | 363Lp0808X |
| Licence No | AP0003838 |
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Definition: An advanced practice registered nurse expert in providing psychiatric and mental healthcare services. |
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What is the Bernice Joann Wilder's unique identification number?
The Bernice Joann Wilder has been assigned the NPI (National Provider Identifier) Number 1770577322 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Bernice Joann Wilder is geographically located?
The Bernice Joann Wilder is physically situated at the following location: 101 Bodin Circle, Travis Afb, CA, 94535.
What is the Bernice Joann Wilder's specialty and taxonomy code?
The Bernice Joann Wilder's specialty is Psychiatric/mental Health, and the corresponding taxonomy code is 363Lp0808X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770577322 to Bernice Joann Wilder?
The Centers for Medicare & Medicaid Services originally issued the 1770577322 to Bernice Joann Wilder on 2005-09-09.
When was the Bernice Joann Wilder's information last updated?
The Bernice Joann Wilder's information was last updated on 2019-05-03.