DEBORAH WIMMER CRNP NPI 1588614267

NPI Information

  • NPI: 1588614267
  • Provider Name: DEBORAH WIMMER, CRNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 1035 W BERKS ST
    PHILADELPHIA, PA
    ZIP 19122
  • Phone: (215) 765-6690

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NPI Details

Deborah Wimmer, CRNP is a pediatrics nurse practitioner in Philadelphia, PA. Deborah Wimmer, CRNP NPI is 1588614267. 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:

1035 W BERKS ST
PHILADELPHIA, PA
ZIP 19122-909
Phone: (215) 765-6690
Fax: (215) 765-6694

The enumeration date for this NPI number is 5/11/2006 and was last updated on 10/16/2008.

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
1363LP0200XNurse PractitionerPediatricsVP000315DPENNSYLVANIAYes

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
130027031OTHERPENNSYLVANIAKEYSTONE MERCY HEALTH PLAN
21488081OTHERPENNSYLVANIAAETNA
31845164OTHERPENNSYLVANIABLUE CROSS
42701047000OTHERPENNSYLVANIAKEYSTONE HEALTH PLAN EAST
51014618380001MEDICAIDPENNSYLVANIA

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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