WILKES UNIVERSITY NPI 1588349518

NPI Information

  • NPI: 1588349518
  • Provider Name: WILKES UNIVERSITY
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • CLIA Number: 39D2125334
  • Address: 84 W SOUTH ST
    WILKES BARRE, PA
    ZIP 18766
  • Phone: (570) 408-4730

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NPI Details

WILKES UNIVERSITY is a family nurse practitioner in Wilkes Barre, PA. WILKES UNIVERSITY NPI is 1588349518. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

84 W SOUTH ST
WILKES BARRE, PA
ZIP 18766-997
Phone: (570) 408-4730

The provider's authorized official is Diane E O'brien .
The authorized official title is Nurse Practioner/director and has the following contact phone number (570) 408-4730.

The CLIA number assigned to this NPI record is 39D2125334 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/19/2023 and was last updated on 6/19/2023.

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
1363LF0000XNurse PractitionerFamilyYes

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: 11/21/2025

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