DEBORAH WIMMER CRNP NPI 1588614267

NPI Information

NPI: 1588614267
Provider Name: DEBORAH WIMMER, CRNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1035 W BERKS ST
PHILADELPHIA, PA
ZIP 19122
Phone: (215) 765-6690
Get Directions

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 NPI 1588614267 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 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
1	363LP0200X	Nurse Practitioner	Pediatrics	VP000315D	PENNSYLVANIA	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	Other Provider Identifier Issuer
1	30027031	OTHER	PENNSYLVANIA	KEYSTONE MERCY HEALTH PLAN
2	1488081	OTHER	PENNSYLVANIA	AETNA
3	1845164	OTHER	PENNSYLVANIA	BLUE CROSS
4	2701047000	OTHER	PENNSYLVANIA	KEYSTONE HEALTH PLAN EAST
5	1014618380001	MEDICAID	PENNSYLVANIA

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: 11/14/2023

NPI Synchronization or Removal

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