MEDICARE: DR. VERONICA FARMER WILBUR PHD APRN-FNP

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
1	363LF0000X	Family Nurse Practitioner	UP00365B	PA
2	363LF0000X	Family Nurse Practitioner	R148066	MD
3	363LF0000X	Family Nurse Practitioner	G-0000278	DE

General Provider Information

NPI Number	:	1699755678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VERONICA FARMER WILBUR PHD APRN-FNP

Provider Business Mailing Address
First Line	:	221 WILLOW WAY
Second Line	:
City	:	LINCOLN UNIVERSITY
State	:	PA
Zip	:	19352-1224
Country	:	US
Telephone Number	:	610-283-2310
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 PHILADELPHIA PIKE STE A4
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19809-1856
Country	:	US
Telephone Number	:	302-375-6746
Fax Number	:	302-375-6822

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2006
Last Update Date	:	05/02/2019

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