MOLLIE EVELYN WILSON (NPI# 1033551130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033551130 |
| Entity Type | Individual |
| Full Name | MOLLIE EVELYN WILSON |
| Credential | NURSE PRACTITIONER |
| Practice Address |
5820 W Girard Ave Philadelphia PA 19131-4850 |
| Practice Telephone | 2152057149 |
| Mailing Telephone | 2152057149 |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2013-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
SP012970 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5820 W GIRARD AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19131-4850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1821629254 | Stephen Osowski | Student in an Organized Health Care Education/Training Program | 4170 City Avenue, Philadelphia, PA 19131 | 2020-02-04 |
| 1134774888 | Arti D Mistry | Dentist | 1126 Horsham Road, Philadelphia, PW 19131 | 2019-08-08 |
| 1275187221 | Grace Bernadette Farrelly | Occupational Therapist | 2101 Simpson House, Philadelphia, PA 19131 | 2019-07-29 |
| 1235795204 | Isd Renal Inc | Clinic/Center | 4952 Parkside Ave, Philadelphia, PA 19131 | 2019-05-15 |
| 1922502582 | Kevin David Wojcik | Student in an Organized Health Care Education/Training Program | Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 | 2018-03-20 |
| 1235633900 | Nadja Hill | Home Health | 5203 Diamond Street, Philadelphia, PA 19131 | 2018-03-19 |
| 1932623857 | Mercy Management of Sepa | Social Worker | 1575 N 52nd St Ste 800, Philadelphia, PA 19131 | 2017-08-02 |
| 1578092235 | Sarah Marie Hoder | Specialist/Technologist | 4000 Presidential Avenue, Philadlephia, PA 19131 | 2017-06-07 |
| Find all providers in zip 19131 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820622 | Diyong S Graham | Nurse Practitioner | 2812 Tremont St, Philadelphia, PA 19136-1025 | 2020-10-26 |
| 1750910808 | Alpha Integrated Clinic | Nurse Practitioner | 8019 Frankford Ave Rear, Philadelphia, PA 19136-2786 | 2020-04-01 |
| 1427681394 | Hwayoung Kim | Nurse Practitioner | 315 New St Apt 403, Philadelphia, PA 19106-1135 | 2020-02-19 |
| 1205306545 | Vadim Selyukov | Nurse Practitioner | 8815 Germantown Ave Ste 16, Philadelphia, PA 19118-2722 | 2018-11-29 |
| 1619420940 | Bridget Mccoy | Nurse Practitioner | 4929 Cedar Ave, Philadelphia, PA 19143-2013 | 2016-08-03 |
| 1003265489 | Stephanie Hand | Nurse Practitioner | 2409 Bainbridge St, Philadelphia, PA 19146-1014 | 2016-06-07 |
| 1679929095 | Michelle Marowitz | Nurse Practitioner | 3401 Civic Center Blvd Fl 11, Philadelphia, PA 19104 | 2016-05-05 |
| 1366834855 | Mary Morris | Nurse Practitioner | 1538 S 56th St, Philadelphia, PA 19143-4737 | 2015-02-20 |
| 1174920086 | Frances Garbarino | Nurse Practitioner | 501 S 53rd St, Philadelphia, PA 19143 | 2014-11-21 |
| 1992819353 | Jo Ann Elizabeth Seppelt | Nurse Practitioner | University and Woodland Aves, Philadelphia, PA 19104 | 2006-08-19 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19131 |
Please comment or provide details below to improve the information on MOLLIE EVELYN WILSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.