Healthcare Provider Details

I. General information

NPI: 1023702180
Provider Name (Legal Business Name): TAMILA A WILHELM RN, APRN , FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2023
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1089 PRAY BLVD
WATERVILLE OH
43566-8712
US

IV. Provider business mailing address

3000 ARLINGTON AVE STOP 1108
TOLEDO OH
43614-2595
US

V. Phone/Fax

Practice location:
  • Phone: 419-383-8500
  • Fax: 419-383-8501
Mailing address:
  • Phone: 419-383-5322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0033068
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: