MRS. KAREN JEAN WILTSE (NPI# 1063767507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063767507 |
Entity Type | Individual |
Full Name | MRS. KAREN JEAN WILTSE |
Credential | ANP |
Practice Address |
1 Hurley Plz Vascular Clinic Flint MI 48503-5902 |
Practice Telephone | 8102624924 |
Practice Fax Number | 8102629471 |
Mailing Telephone | 8102624924 |
Mailing Fax Number | 8102629471 |
Enumeration Date | 2012-07-20 |
Last Update Date | 2012-07-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704223678 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1 HURLEY PLZ VASCULAR CLINIC |
City | FLINT |
State | MI |
Zip Code | 48503-5902 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578567053 | Robert Welch | Obstetrics & Gynecology | 1 Hurley Plz, Flint, MI 48503-5902 | 2005-06-13 |
1114526076 | Vin Zephyr Swift | Physician Assistant | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-10-21 |
1245843275 | Bashir Imam | Student in an Organized Health Care Education/Training Program | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-08-28 |
1639789837 | Hadeel Allam | Pediatrics | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-08-03 |
1629687637 | Tazeen Qureshi | Student in an Organized Health Care Education/Training Program | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-07-26 |
1831707157 | Samira Ali | Student in an Organized Health Care Education/Training Program | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-07-22 |
1629695218 | Jillian Arlene Morris | Nurse Practitioner | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-06-29 |
1609492164 | Monica Rani Julapelly | Student in an Organized Health Care Education/Training Program | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-06-21 |
1992321830 | Brittany Radler | Nurse Practitioner | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-06-16 |
1073137071 | Kirsten Nicole Bonifacio | Student in an Organized Health Care Education/Training Program | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-06-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
Find all providers in zip 48503 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326654724 | Connie Sue Fiser | Nurse Practitioner | 248 Cass Cir, Flint, TX 75762-6990 | 2020-09-21 |
1518341965 | Diane Kay Holmes | Nurse Practitioner | 2486 Nerredia St Ste E, Flint, MI 48532-4807 | 2015-07-15 |
1942600176 | Kimberly A Vanslyke-smith | Nurse Practitioner | 600 S Saginaw St, Flint, MI 48502-1506 | 2014-08-25 |
1619984978 | Christine Cecilia Cheneworth | Nurse Practitioner | 303 E Kearsley Street, University of Michigan- Flint Urban Health & Wellness, Flint, MI 48502-1950 | 2006-08-01 |
1952354631 | Francesca M Petrilli | Nurse Practitioner | 725 Mason St, Flint, MI 48503-2421 | 2006-05-17 |
1902803877 | Patrick Dale Hawkins | Nurse Practitioner | 2486 Nerredia St, Flint, MI 48532-4807 | 2005-07-06 |
1306372339 | Kappel Elite LLC | Nurse Practitioner | G4007 W Court St, Ste G2, Flint, MI 48532-3560 | 2017-05-11 |
1356893366 | Shauna Franice Cooks | Nurse Practitioner | 2700 Robert T Longway Blvd, Suite B, Flint, MI 48503-2190 | 2016-10-26 |
1750839312 | Ryan Wasielewski | Nurse Practitioner | 2700 Robert T Longway Blvd, #2, Flint, MI 48503-2190 | 2016-09-13 |
1043603558 | Karen Driskill | Nurse Practitioner | 5020 W Bristol Rd, Flint, MI 48507-2919 | 2015-03-08 |
Find all providers in FLINT |
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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.