AMANDA S WILES NP-C NPI 1144568767

NPI Information

NPI: 1144568767
Provider Name: AMANDA S WILES, NP-C
Classification: Nurse Practitioner - 363LX0106X
Entity Type: Individual

Specialization: Occupational Health

PECOS Registration: Yes

Address:
904 5TH AVE NE
JAMESTOWN, ND
ZIP 58401
Phone: (701) 253-4000
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Amanda S Wiles, NP-C is an occupational health nurse practitioner in Jamestown, ND with 12 years of experience. Amanda S Wiles, NP-C NPI is 1144568767. 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:

904 5TH AVE NE
JAMESTOWN, ND
ZIP 58401-437
Phone: (701) 253-4000

The NPI 1144568767 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 1/17/2013 and was last updated on 8/12/2014.

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	363LF0000X	Nurse Practitioner	Family	2013001306	MISSOURI	No
2	363LX0106X	Nurse Practitioner	Occupational Health	R39620	NORTH DAKOTA	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	84313	MEDICAID	NORTH DAKOTA
2	N719662	MEDICARE PIN	NORTH DAKOTA

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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