Active NPIIndividual providerSole proprietor

Deandra Wilson, LPN

Licensed Practical Nurse in New Bedford, Massachusetts

NPI Number1457251639
Practice location
2110 Phillips RD Apt 7, New Bedford, MA 02745-2160
Fax
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Last updated
November 10, 2026

Deandra Wilson is a Licensed Practical Nurse based in New Bedford, MA. Deandra Wilson practices in New Bedford, MA and has the professional credentials of LPN. The NPI Number for Deandra Wilson is 1457251639 and holds a License No. LN1002120 (MA). The current practice location address for Deandra Wilson is 2110 Phillips RD Apt 7, New Bedford, MA 02745-2160 and can be reached out via phone at 857-417-3370.

Provider Profile Details

NPI Number
1457251639
Provider Name
Deandra Wilson
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
2110 Phillips RD Apt 7, New Bedford, MA 02745-2160
Phone Number
857-417-3370
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 10, 2026
Last Update Date
November 10, 2026
Certification Date
November 10, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
2110 Phillips RD Apt 7
New Bedford, MA 02745-2160
Zip
02745-2160
Phone Number
857-417-3370
New Bedford, MA 02745Get directions →

Provider Business Mailing Address Details

Address
2110 Phillips RD Apt 7
New Bedford, MA 02745-2160
City
New Bedford
State
MA
Zip
02745-2160

License Information

License Number
LN1002120
License State
MA
Taxonomy
Licensed Practical Nurse · 164W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Deandra Wilson, LPN?

The NPI number of Deandra Wilson, LPN is 1457251639. It was assigned on November 10, 2026 and is currently active in the NPPES registry.

What is the specialty of Deandra Wilson, LPN?

Deandra Wilson, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in MA under license number LN1002120.

Where does Deandra Wilson, LPN practice?

The practice location is 2110 Phillips RD Apt 7, New Bedford, MA 02745-2160. The office can be reached at 857-417-3370 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457251639 directly on the NPPES registry website.

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