MARY JANE WILDMAN CRNP NPI 1174846166

NPI Information

NPI: 1174846166
Provider Name: MARY JANE WILDMAN, CRNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
100 NEW SALEM RD
SUITE 116
UNIONTOWN, PA
ZIP 15401
Phone: (724) 437-0728
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Mary Jane Wildman, CRNP is a psychiatric/mental health nurse practitioner in Uniontown, PA with 2 years of experience. Mary Jane Wildman, CRNP NPI is 1174846166. 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:

100 NEW SALEM RD
SUITE 116
UNIONTOWN, PA
ZIP 15401-936
Phone: (724) 437-0728

The NPI 1174846166 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 3/5/2010 and was last updated on 8/31/2023.

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		RN588934	PENNSYLVANIA	No
2	163WP0807X	Registered Nurse	Psychiatric/Mental Health, Child & Adolescent	RN588934	PENNSYLVANIA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	SP028136	PENNSYLVANIA	Yes

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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