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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WX0106X |
Registered Nurse Specialization: Occupational Health |
94890-030 | WI | Nursing Service Providers |
Street Address |
807 PLEASANT VALLEY RD |
City | WEST BEND |
State | WI |
Zip Code | 53095-9767 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942820428 | David Fountain | Contractor | 726 Creedwood Lane, West Bend, WI 53095 | 2020-04-24 |
1922664358 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1745 South Main St, West Bend, WI 53095 | 2019-05-10 |
1912423773 | Michelle R Prentice | Family Medicine | West Bend Health Center, 1700 W. Paradise Drive, West Bend, WI 53095 | 2017-08-14 |
1386165918 | Quad/med, LLC | Clinic/Center | 432 E. Washington St. #1115, West Bend, WI 53095 | 2017-07-05 |
1508230632 | Jesen Daniel | Counselor | 111 East Washington St, Affiliated Clinical Services, West Bend, WI 53095 | 2015-12-01 |
1477965259 | Jenna Crofts | Specialist/Technologist | 1190 East Paradise Drive, West Bend, WI 53095 | 2014-05-28 |
1023436342 | Visionworks | Optometrist | 1437 S. Main St., West Bend, WI 53095 | 2014-04-03 |
1295157295 | Stephanie Rabe | Registered Nurse | 910 E. Paradise Drive, West Bend, WI 53095 | 2014-01-09 |
1477898815 | Ralph Norman Olsen | Pediatrics | 6267 Riesch Road, West Bend, WI 53095 | 2012-12-11 |
1932458536 | Joshua Aaron Barta | Dentist | 2090 Continental Drive, West Bend, WI 53095 | 2012-08-29 |
Find all providers in zip 53095 |
Taxonomy Code | 163WX0106X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Occupational Health |
Definition to come... |
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 |
Please comment or provide details below to improve the information on MRS. ELIZABETH ANNE WILDT.
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.