KAREN LOUISE WILSMAN


Address: 4135 S Power Rd Ste 113, Mesa, AZ 85212-3625
Phone: 4806262444

KAREN LOUISE WILSMAN (NPI# 1043608052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043608052
Entity Type Individual
Full Name KAREN LOUISE WILSMAN
Credential AGNP
Practice Address 4135 S Power Rd Ste 113
Mesa
AZ 85212-3625
Mailing Address 4135 S Power Rd
Ste 113
Mesa
AZ 85212-3625
Practice Telephone 4806262444
Practice Fax Number 4094092987
Mailing Telephone 4806262444
Mailing Fax Number 4904092987
Enumeration Date 2014-12-27
Last Update Date 2020-09-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
TAP7525 AZ Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
TAP7525 AZ Physician Assistants & Advanced Practice Nursing Providers
N 363LP2300X Nurse Practitioner
Specialization: Primary Care
RN169787 AZ Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 469208 05
NPI 1043608052 01

Office Location

Street Address 4135 S POWER RD STE 113
City MESA
State AZ
Zip Code 85212-3625

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689876252 Douglas Milan Maready Internal Medicine 4135 S Power Rd Ste 113, Mesa, AZ 85212-3625 2007-06-05
1598235665 Phoenix Addiction Recovery LLC Clinic/Center 4135 S Power Rd Ste 113, Mesa, AZ 85212-3625 2018-11-30
1528578515 Bret L. Lopez Internal Medicine 4135 S Power Rd Ste 113, Mesa, AZ 85212-3625 2017-10-04
1255860342 Doug Maready Md Pllc Internal Medicine 4135 S Power Rd Ste 113, Mesa, AZ 85212-3625 2017-06-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922610302 West Point Optical Group Optometrist 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 2020-08-18
1215553565 Andrew Eugene Pak Dentist 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 2020-06-23
1588200265 Signal Butte Kids Dentistry and Orthodontics, LLP Dentist 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 2019-11-18
1194371526 Safeway Inc Durable Medical Equipment & Medical Supplies 4316 S Signal Butte Rd, Mesa, AZ 85212 2019-08-12
1194200980 Highbury Dental Management, LLC Dentist 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 2018-09-27
1033623541 Latanya Olivia Edenburgs Case Manager/Care Coordinator 10436 E Radiant Ave., Mesa, AZ 85212 2017-11-20
1205355880 Linda Okafor Nurse Practitioner 4719 S Calderon Circle, Mesa, AZ 85212 2017-09-14
1689121188 Agh Mesa LLC General Acute Care Hospital 9130 East Elliot Road, Mesa, AZ 85212 2016-09-01
1861841918 Ryan Blake Dentist 4425 S. Mountain Road, Ste 109, Mesa, AZ 85212 2016-06-09
1083089460 White Glove Health Nurse Practitioner 2906 S Lynch Cr, Mesa, AZ 85212 2015-12-10
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558986224 Jodi E Bray Nurse Practitioner 244 N Extension Rd, Mesa, AZ 85201-6300 2020-06-09
1023666146 Nancy Fulmore Nurse Practitioner 6553 E Baywood Ave Ste 205, Mesa, AZ 85206-1754 2019-09-02
1417518747 Mary Eileen Kumah Russell Nurse Practitioner 6644 E Baywood Ave, Mesa, AZ 85206-1747 2019-06-26
1467901769 Ampili Umayamma Nurse Practitioner 5252 E Main St, Mesa, AZ 85205-8022 2016-09-27
1568823821 Nicole Renee Mott Nurse Practitioner 455 E 4th Pl, Mesa, AZ 85203-7101 2016-03-15
1730579426 Cynthia Devine Nurse Practitioner 7165 E University Dr Ste 183, Mesa, AZ 85207-6415 2015-02-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104425123 Erin Jean Mcmanus-tomanek Nurse Practitioner 12851 N 142nd Ave, Surprise, AZ 85379-9502 2020-10-21
1154928463 Willie Sellers Nurse Practitioner 15354 W Charter Oak Rd, Surprise, AZ 85379-9184 2020-10-08
1760090427 Debra Shannon Witthar Nurse Practitioner 10515 W Santa Fe Dr Bldg B, Sun City, AZ 85351-3020 2020-07-20
1255955506 Christy J Holloway Nurse Practitioner 2645 E Southern Ave, Tempe, AZ 85282-7649 2020-06-02
1013552124 Alliance With The Covenant of The Trinity Arizona Inc Nurse Practitioner 2 N Central Ave Fl 18, Phoenix, AZ 85004-2322 2019-11-12
1184197691 Waheed Olawoyin Olabode Nurse Practitioner 12853 S 184th Ave, Goodyear, AZ 85338-2642 2019-01-08
1508381880 Marcie Marie Camblin Nurse Practitioner 16551 N Naegel Dr, Surprise, AZ 85374-5411 2017-08-08
1508105727 Geriatric Health Services, Plc Nurse Practitioner 1013 W Longhorn Rd, Payson, AZ 85541-4282 2013-02-07
1194070227 Debra Rouse Haber Nurse Practitioner 755 S Grapevine Loop, Benson, AZ 85602-7430 2012-07-15
1346504818 Your Nurse Practitioner LLC Nurse Practitioner 6261 Boothwyn St, Prescott Valley, AZ 86314-6726 2012-06-29
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Competitor

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City MESA
Zip Code 85212

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Dataset Information

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.

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