FONDA MAE WILKINS NP NPI 1649292830

NPI Information

NPI: 1649292830
Provider Name: FONDA MAE WILKINS, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Address:
115 BLARNEY DR
COLUMBIA, SC
ZIP 29223
Phone: (803) 419-9091
Get Directions

Fonda Mae Wilkins, NP is an acute care nurse practitioner in Columbia, SC. Fonda Mae Wilkins, NP NPI is 1649292830. 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:

115 BLARNEY DR
COLUMBIA, SC
ZIP 29223-291
Phone: (803) 419-9091
Fax: (803) 419-9199

The enumeration date for this NPI number is 7/24/2006 and was last updated on 3/2/2012.

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	363LC0200X	Nurse Practitioner	Critical Care Medicine	2964	SOUTH CAROLINA	No
2	363LA2100X	Nurse Practitioner	Acute Care	2964	SOUTH CAROLINA	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	AA15905771	MEDICARE PIN	SOUTH CAROLINA
2	P00889659	OTHER	SOUTH CAROLINA	MEDICARE RAILROAD
3	NP1257	MEDICAID	SOUTH CAROLINA
4	AA15905742	MEDICARE PIN

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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