MRS. ELIZABETH ANNE WILDT


Address: 807 Pleasant Valley Rd, West Bend, WI 53095-9767
Phone: 2626756533

MRS. ELIZABETH ANNE WILDT (NPI# 1902067473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902067473
Entity Type Individual
Full Name MRS. ELIZABETH ANNE WILDT
Credential R.N.
Practice Address 807 Pleasant Valley Rd
West Bend
WI 53095-9767
Mailing Address 835 Potts Ave
Green Bay
WI 54304-4535
Practice Telephone 2626756533
Mailing Telephone 9204919082
Enumeration Date 2008-06-18
Last Update Date 2008-06-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WX0106X Registered Nurse
Specialization: Occupational Health
94890-030 WI Nursing Service Providers

Office Location

Street Address 807 PLEASANT VALLEY RD
City WEST BEND
State WI
Zip Code 53095-9767

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205943404 Nancy Lynn Whitehead Nurse Practitioner 807 Pleasant Valley Rd, West Bend, WI 53095-9767 2006-08-24
1932369121 Dave James Moore Occupational Therapist 807 Pleasant Valley Rd, West Bend, WI 53095-9767 2008-06-11

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Taxonomy Information

Taxonomy Code 163WX0106X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Occupational Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922512706 Jill Ann Arendt Registered Nurse 412 Rawlins Dr, Waukesha, WI 53188-4644 2017-12-01
1164801817 Katheryn Deborah Bruhn Registered Nurse 2300 Badger Dr, Waukesha, WI 53188-5931 2015-05-28
1881998904 Joel David Malak Registered Nurse 136 Cedar St, Brooklyn, WI 53521-9059 2011-01-04
1356518104 Sabrina Leslie Frisque Registered Nurse 835 Potts Ave, Green Bay, WI 54304-4535 2008-05-12
1700447992 Patricia Marie Perdzock-haas Registered Nurse 333 E Campus Mall, Madison, WI 53715-1365 2019-06-27

Competitor

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City WEST BEND
Zip Code 53095

Improve Information

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Dataset Information

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.

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