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NPI Code Detail

MEDICARE: ELIZABETH WILHELM DNP, FNP-BC

MEDICARE: ELIZABETH WILHELM DNP, FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerWILH-5KJ9NNC
2390200000XStudent in an Organized Health Care Education/Training Program
3363LF0000XFamily Nurse Practitioner5015065NC

General Provider Information

NPI Number : 1134742034
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH WILHELM DNP, FNP-BC
Provider Business Mailing Address
First Line : 2411 LANDMARK DR
Second Line :
City : RALEIGH
State : NC
Zip : 27607-6524
Country : US
Telephone Number : 919-788-4203
Fax Number :
Provider Business Practice Location Address
First Line : 2411 LANDMARK DR
Second Line :
City : RALEIGH
State : NC
Zip : 27607-6524
Country : US
Telephone Number : 919-788-4203
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2020
Last Update Date : 09/20/2021

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