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MARY ANN WILDER RNC MSN C-APN NPI 1265496509


NPI Information

NPI: 1265496509
Provider Name: MARY ANN WILDER, RNC, MSN, C-APN
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

PECOS Registration: Yes

Address:
620 SHADOW LN
LAS VEGAS, NV
ZIP 89106
Phone: (702) 671-8525
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Mary Ann Wilder, RNC, MSN, C-APN is a neonatal nurse practitioner in Las Vegas, NV. Mary Ann Wilder, RNC, MSN, C-APN NPI is 1265496509. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

620 SHADOW LN
LAS VEGAS, NV
ZIP 89106-119
Phone: (702) 671-8525

The NPI 1265496509 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/13/2006 and was last updated on 3/21/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WN0002XRegistered NurseNeonatal Intensive CareAPN000572NEVADANo
2363LN0000XNurse PractitionerNeonatalAPN000572NEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.