MS. TINA L WILSON ARNP RN NPI 1770551319

NPI Information

NPI: 1770551319
Provider Name: MS. TINA L WILSON, ARNP RN
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
580 WESTPORT RD
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 765-6196
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MS. Tina L Wilson, ARNP RN is a women's health nurse practitioner in Elizabethtown, KY. MS. Tina L Wilson, ARNP RN NPI is 1770551319. 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:

580 WESTPORT RD
ELIZABETHTOWN, KY
ZIP 42701-949
Phone: (270) 765-6196
Fax: (270) 763-0397

The enumeration date for this NPI number is 3/9/2006 and was last updated on 2/6/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		1072465	KENTUCKY	No
2	363LW0102X	Nurse Practitioner	Women's Health	2609P	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S98316	MEDICARE UPIN

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: 4/28/2024

NPI Synchronization or Removal

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