WENDY WILDERN (NPI# 1164917787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164917787 |
Entity Type | Individual |
Full Name | WENDY WILDERN |
Practice Address |
1215 E Michigan Ave Fl 7 Lansing MI 48912-1811 |
Mailing Address |
Po Box 13008 Lansing MI 48901-3008 |
Practice Telephone | 5173643380 |
Practice Fax Number | 5173643399 |
Mailing Telephone | 5172536320 |
Mailing Fax Number | 5172536321 |
Enumeration Date | 2018-06-26 |
Last Update Date | 2018-06-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704250298 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1215 E MICHIGAN AVE FL 7 |
City | LANSING |
State | MI |
Zip Code | 48912-1811 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164478822 | Edward W. Sparrow Hospital Association | Hospitalist | 1215 E Michigan Ave Fl 7, Lansing, MI 48912-1811 | 2006-05-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316563646 | Shelley Gabel | Surgery | 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 | 2020-06-23 |
1568087237 | Ahmed Mohamed Haggag | Student in an Organized Health Care Education/Training Program | 1215 East Michigan Avenue 3rd Floor, Lansing, MI 48912 | 2020-06-09 |
1467074773 | Craig Hargurkirat Malli | Family Medicine | 1215 E Michigan Avenue Suite 245, Lansing, MI 48912 | 2020-05-08 |
1215558945 | Temmy J. Brotherson | Family Medicine | Sparrow Health Systems, 1200 E Michigan Avenues, Suite 245, Lansing, MI 48912 | 2020-05-05 |
1386265452 | Kyle Patrick Doran | Emergency Medicine | Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 | 2020-04-30 |
1316418841 | Andrea Mcswain Do PC | Obstetrics & Gynecology | 1909 E. Michigan Ave, Lansing, MI 48912 | 2018-12-10 |
1215386115 | Michael Vernon Hollis | Student in an Organized Health Care Education/Training Program | 1500 E Michigan Ave, Suite 655, Lansing, MI 48912 | 2016-06-10 |
1518333970 | Eastside Community Action Center | Social Worker | 1001 Dakin Street, Suite B, Lansing, MI 48912 | 2015-08-19 |
1649667403 | Cheryl Ann Wade | Counselor | 1712 E Michigan Ave., Lansing, MI 48912 | 2015-04-20 |
1083006134 | Carol Pratt | Occupational Therapist | 1200 E. Michigan Ave, Outpatient Rehab - Lower Level, Lansing, MI 48912 | 2015-02-26 |
Find all providers in zip 48912 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629022702 | Judy Rae Moppin | Nurse Practitioner | 211 Emile St, Lansing, KS 66043-1324 | 2006-05-21 |
1942202494 | Shirley R Courey | Nurse Practitioner | 1200 E Michigan Ave, Suite 500, Lansing, MI 48912-1800 | 2005-08-15 |
1508239534 | Abigail Platt | Nurse Practitioner | 2316 S Cedar St, Lansing, MI 48910-3152 | 2015-11-13 |
1124404793 | Lavonna Lynnsilee Evans | Nurse Practitioner | 5135 S Pennsylvania Ave, Lansing, MI 48911-4002 | 2015-08-06 |
1003292855 | Neena Lee Kovalchik | Nurse Practitioner | 1200 East Michigan Avenue, Lansing, MI 48912 | 2015-08-04 |
1598186777 | Monica Jean Scarffe | Nurse Practitioner | 1200 E Michigan Ave, Ste 725, Lansing, MI 48912 | 2013-12-14 |
1235418138 | Kelli L Isralson-brown | Nurse Practitioner | 5303 S Cedar St, Lansing, MI 48911-3800 | 2011-08-09 |
1013222736 | Gregory John Hayter | Nurse Practitioner | 1140 E Michigan Ave Ste 400, Lansing, MI 48912-1806 | 2010-08-18 |
1710209218 | Ellen F Lander | Nurse Practitioner | 2316 S Cedar St, Lansing, MI 48910-3152 | 2010-02-24 |
1710212477 | Mira Kim | Nurse Practitioner | 720 1st Ter, Lansing, KS 66043-1704 | 2009-10-13 |
Find all providers in LANSING |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.