Active NPIIndividual provider

Joan T Wildenhain, NP

Nurse Practitioner in Swansea, Massachusetts

NPI Number1720073455
Practice location
479 Swansea Mall Dr, Swansea, MA 02777-4119
Fax
508-973-0386
Last updated
September 8, 2024

Joan T Wildenhain is a Nurse Practitioner based in Swansea, MA. 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 (MA). The current practice location address for Joan T Wildenhain is 479 Swansea Mall Dr, Swansea, MA 02777-4119 and can be reached out via phone at 508-973-1550 and via fax at 508-973-0386.

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 02777-4119
Phone Number
508-973-1550
Fax Number
508-973-0386
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
September 19, 2005
Last Update Date
September 8, 2024
Certification Date
September 8, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
479 Swansea Mall Dr
Swansea, MA 02777-4119
Zip
02777-4119
Phone Number
508-973-1550
Fax Number
508-973-0386
Swansea, MA 02777Get directions →

Provider Business Mailing Address Details

Address
200 Mill RD
Suite 180
Fairhaven, MA 02719-5252
City
Fairhaven
State
MA
Zip
02719-5252
Phone Number
508-973-2000
Fax Number
508-973-2001

License Information

License Number
RN225095
License State
MA
Taxonomy
Nurse Practitioner · 363L00000X · 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 Joan T Wildenhain, NP?

The NPI number of Joan T Wildenhain, NP is 1720073455. It was assigned on September 19, 2005 and is currently active in the NPPES registry.

What is the specialty of Joan T Wildenhain, NP?

Joan T Wildenhain, NP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number RN225095.

Where does Joan T Wildenhain, NP practice?

The practice location is 479 Swansea Mall Dr, Swansea, MA 02777-4119. The office can be reached at 508-973-1550 (phone) or 508-973-0386 (fax).

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 1720073455 directly on the NPPES registry website.

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