person
Joan T Wildenhain, NP
Adult Health Nurse Practitioner in Swansea, Massachusetts
NPI 1720073455

Joan T Wildenhain is an Adult Health Nurse Practitioner based in Fairhaven, MA and is specialized in Adult Health. Joan T Wildenhain practices in Swansea, MA and has the professional credentials of NP. The NPI Number for Joan T Wildenhain is 1720073455 and holds a License No. RN225095 (Massachusetts).

The current practice location address for Joan T Wildenhain is 479 Swansea Mall Dr, Swansea, MA and can be reached out via phone at 508-973-1550 and via fax at 508-973-0386. You can also correspond with Joan T Wildenhain through the mailing address at 200 MILL RD, FAIRHAVEN, MA - 02719-5252 (mailing address contact number: 508-973-2000).

Location: 479 Swansea Mall Dr, Swansea, MA, 02719-5252
person
Provider Profile Details
NPI Number
1720073455
Provider Name
Joan T Wildenhain
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
479 Swansea Mall Dr, Swansea, MA, 02719-5252
Phone Number
508-973-1550
Fax Number
508-973-0386
Provider Enumeration Date
09/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110105942A 05 MA
institution
Provider Business Practice Location Address Details
Address
479 Swansea Mall Dr
City
State
Zip
02777-4119
Phone Number
508-973-1550
Fax Number
508-973-0386
person
Provider Business Mailing Address Details
Address
200 Mill Rd
City
State
Zip
02719-5252
Phone Number
508-973-2000
Fax Number
508-973-2001
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
RN225095 (Massachusetts)
Definition
Definition to come...
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