CHARIS WILDER NP NPI 1235648148

NPI Information

NPI: 1235648148
Provider Name: CHARIS WILDER, NP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
15351 W BELL RD
SURPRISE, AZ
ZIP 85374
Phone: (623) 687-7163
Get Directions

Charis Wilder, NP is a women's health nurse practitioner in Surprise, AZ with 7 years of experience. Charis Wilder, NP NPI is 1235648148. 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:

15351 W BELL RD
SURPRISE, AZ
ZIP 85374-580
Phone: (623) 687-7163

The NPI 1235648148 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 9/22/2017 and was last updated on 3/23/2021.

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	23213	TENNESSEE	No
2	363LW0102X	Nurse Practitioner	Women's Health	AP10566	ARIZONA	Yes
3	363LW0102X	Nurse Practitioner	Women's Health	23213	TENNESSEE	No

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	142896	MEDICAID	ARIZONA

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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