MS. LORETTA K WILSON ANP NPI 1861450983

NPI Information

NPI: 1861450983
Provider Name: MS. LORETTA K WILSON, ANP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157
Phone: (336) 716-2255
Get Directions

MS. Loretta K Wilson, ANP is an adult health nurse practitioner in Winston Salem, NC. MS. Loretta K Wilson, ANP NPI is 1861450983. 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:

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157-001
Phone: (336) 716-2255
Fax: (336) 716-3202

The NPI 1861450983 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 5/1/2006 and was last updated on 4/4/2014.

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	363LA2200X	Nurse Practitioner	Adult Health	900352	NORTH CAROLINA	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	1861450983	OTHER	NORTH CAROLINA	PARTNERS
2	268270	OTHER	NORTH CAROLINA	MEDCOST
3	2807786C	MEDICARE PIN	NORTH CAROLINA
4	QNP211	OTHER	SOUTH CAROLINA	SC MEDICAID
5	3648339	OTHER	NORTH CAROLINA	UNITED HEALTHCARE
6	P00654521	OTHER	NORTH CAROLINA	RAILROAD MEDICARE
7	1761X	OTHER	NORTH CAROLINA	BCBS
8	2807786B	MEDICARE PIN	NORTH CAROLINA
9	1861450983	OTHER	NORTH CAROLINA	TRICARE
10	1861450983	OTHER	NORTH CAROLINA	VIRGINIA MEDICAID
11	P83148	MEDICARE UPIN	NORTH CAROLINA
12	NCD790A	MEDICARE PIN	NORTH CAROLINA
13	4744420	OTHER	NORTH CAROLINA	AETNA
14	2807786A	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA

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

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.

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