EDWINA LYNN WILBER (NPI# 1366406647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366406647 |
| Entity Type | Individual |
| Full Name | EDWINA LYNN WILBER |
| Credential | NP |
| Practice Address |
603 Clarksville Rd Pittsfield IL 62363-1822 |
| Practice Telephone | 2172856012 |
| Mailing Telephone | 2172856012 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2012-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
067940 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209002768 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
603 CLARKSVILLE RD |
| City | PITTSFIELD |
| State | IL |
| Zip Code | 62363-1822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871831388 | Advance Physical Therapy Illini Community Hospital LLC | Physical Therapist | 128 W Washington Street, Pittsfield, IL 62363 | 2013-01-18 |
| 1003168154 | Rebecca L. Williams | Social Worker | 120 North Williams Industrial Drive, Pittsfield, IL 62363 | 2012-10-12 |
| 1851641534 | Debra Ann Helton | Speech-Language Pathologist | 640 West Washington, Pittsfield, IL 62363 | 2012-09-11 |
| 1366791451 | Blessing Care Corp. | Hospitalist | 640 West Washington Street, Pittsfield, IL 62363 | 2012-09-05 |
| 1235421900 | Mental Health Centers of Western Illinios | Community/Behavioral Health | 120 N. Williams Industrial Drive, Pittfield, IL 62363 | 2011-05-12 |
| 1003088188 | Brandi N. Ruzich | Physical Therapist | 320 N. Madison, Pittsfield, IL 62363 | 2008-03-28 |
| 1841494085 | Kelly Marie Baker | Counselor | 121 S Madison, Pittsfield, IL 62363 | 2007-06-12 |
| 1780885830 | Quincy Medical Group Pleasant Hill Rural Health | Durable Medical Equipment & Medical Supplies | 405 East State, Pleasant Hill, IL 62363 | 2007-05-29 |
| 1962622795 | Kelli R Hull | Licensed Practical Nurse | 121 South Madison Street, Mental Health Centers of Western Illinois, Pittsfield, IL 62363 | 2007-04-26 |
| 1407939085 | Wal-mart Stores, Inc | Technician/Technologist | Us 36 & 151 Shetland Dr., Pittsfield, IL 62363 | 2006-10-24 |
| Find all providers in zip 62363 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689176331 | Heather Mari Armstrong | Nurse Practitioner | 777 North St Fl 5, Pittsfield, MA 01201-4147 | 2018-03-08 |
| 1497267645 | Martha Swanson | Nurse Practitioner | 20 Elm St, Pittsfield, MA 01201-6502 | 2017-10-27 |
| 1417335704 | Wanda Torres | Nurse Practitioner | 777 North St Ste 207, Pittsfield, MA 01201-4123 | 2015-05-07 |
| 1174937197 | Alison M Flynn | Nurse Practitioner | 510 North Street, Suite 1, Pittsfield, MA 01201 | 2014-06-18 |
| 1346580917 | Anurag Bansal | Nurse Practitioner | 777 North St, Pittsfield, MA 01201-4147 | 2013-02-19 |
| 1639450919 | Jennifer Wolf Nugent | Nurse Practitioner | 631b North St, Pittsfield, MA 01201-4102 | 2011-08-31 |
| 1346569951 | Sheri Lee Sullivan | Nurse Practitioner | 165 Tor Court, Pittsfield, MA 01201 | 2010-05-21 |
| 1851617872 | Sarah Ellen Bradford | Nurse Practitioner | 8 Conte Dr, Pittsfield, MA 01201-8298 | 2010-04-15 |
| 1689823098 | Darlene H Boyce | Nurse Practitioner | 777 North St Ste 207, Internal Medicine, Pittsfield, MA 01201-4123 | 2008-09-10 |
| 1881886026 | Kevin F Ryan | Nurse Practitioner | 165 Tor Ct, Pittsfield, MA 01201-3001 | 2007-08-13 |
| Find all providers in PITTSFIELD | ||||
| City | PITTSFIELD |
| Zip Code | 62363 |
Please comment or provide details below to improve the information on EDWINA LYNN WILBER.
| 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.