CHARLOTTE IRENE WIDICK ENP NPI 1376581751

NPI Information

NPI: 1376581751
Provider Name: CHARLOTTE IRENE WIDICK, ENP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
322 COLEMAN ST
MARLIN, TX
ZIP 76661
Phone: (254) 803-3561
Get Directions

Charlotte Irene Widick, ENP is an acute care nurse practitioner in Marlin, TX. Charlotte Irene Widick, ENP NPI is 1376581751. 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:

322 COLEMAN ST
MARLIN, TX
ZIP 76661-358
Phone: (254) 803-3561

The NPI 1376581751 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 6/4/2006 and was last updated on 3/26/2008.

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	363LA2100X	Nurse Practitioner	Acute Care	575896	TEXAS	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
1	8J2043	MEDICARE PIN	TEXAS
2	S58286	MEDICARE UPIN	TEXAS
3	117953308	MEDICAID	TEXAS
4	8G1679	MEDICARE PIN	TEXAS

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: 5/5/2024

NPI Synchronization or Removal

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