KIMBERLY WANNER


Address: 4735 Ogletown Stanton Rd, Medical Arts Pavilion 2, Suite 3301, Newark, DE 19713-2072
Phone: 3026234370

KIMBERLY WANNER (NPI# 1235678087) 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) 1235678087
Entity Type Individual
Full Name KIMBERLY WANNER
Credential AGNP
Practice Address 4735 Ogletown Stanton Rd
Medical Arts Pavilion 2, Suite 3301
Newark
DE 19713-2072
Mailing Address 200 Hygeia Dr
Suite 2300
Newark
DE 19713-2049
Practice Telephone 3026234370
Practice Fax Number 3026234375
Enumeration Date 2017-02-13
Last Update Date 2017-02-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner LP-0000194 DE Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
LP-0000194 DE Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
LP-0000194 DE Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4735 OGLETOWN STANTON RD
MEDICAL ARTS PAVILION 2, SUITE 3301
City NEWARK
State DE
Zip Code 19713-2072

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063415651 Susan L Chudzik Nurse Practitioner 4735 Ogletown Stanton Rd, Mapii Suite 2123, Newark, DE 19713-2072 2005-05-27
1487295721 Michael Rajnherc Nurse Anesthetist, Certified Registered 4735 Ogletown Stanton Rd, Newark, DE 19713-2072 2019-10-07
1679131221 Kathryn Margaret Godfrey Psychologist 4735 Ogletown Stanton Rd, Newark, DE 19713-2072 2019-05-30
1952827446 Robert F. Onyango Registered Nurse 4735 Ogletown Stanton Rd, Map 2, Suite 1250, Newark, DE 19713-2076 2017-08-17
1225565070 Steven James Larrimore Nurse Practitioner 4735 Ogletown Stanton Rd, Suite 3301, Newark, DE 19713-2072 2017-05-11
1861926032 Heidi Huntington Clinical Nurse Specialist 4735 Ogletown Stanton Rd, Suite 3301, Newark, DE 19713-2072 2017-04-14
1336688662 Alana Coppol Disabatino Nurse Practitioner 4735 Ogletown Stanton Rd, Suite 1250, Newark, DE 19713-2072 2017-02-20
1255878047 Bioidentical Options, LLC Specialist 4735 Ogletown Stanton Rd, Medical Arts Pavilion II Suite 2310, Newark, DE 19713-2072 2017-01-31
1306396650 Ali Kalamchi, Md Orthopaedic Surgery 4735 Ogletown Stanton Rd, Newark, DE 19713-2072 2016-10-11
1548612195 Tamara Mcgillin Nurse Practitioner 4735 Ogletown Stanton Rd, M.a.p. #2, Suite 1116, Newark, DE 19713-2072 2016-07-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518574490 Stacie Guyton Nurse Practitioner 4501 Ogletown Stanton Road, Newark, DE 19713 2020-09-25
1225674633 Michael Francis Stant Specialist/Technologist Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 2019-11-20
1528559457 Sarah Mun Physician Assistant 4755 Ogletown Stanton Rd, Newark, DE 19713 2018-05-26
1568983286 Clarice Wanisku Kariuki Licensed Practical Nurse 15 Prestbury Square, Suite 14, Nweark, DE 19713 2017-07-03
1679029870 Auxilia Akala Nurse Practitioner 1082 Churchmans Rd, Newrk, DE 19713 2016-08-28
1003369851 Yawar Abbas Psychiatry & Neurology Rockford Center, 100 Rockford Dr, Newark, DE 19713 2016-07-28
1700245925 Debra Hutz Counselor 25 Omega Dr., Professional Center #j, Newark, DE 19713 2016-02-16
1376918201 Aquiles Igleisias Speech-Language Pathologist 540 South College Avenue, Newark, DE 19713 2015-12-03
1639547359 Kylee Rose Social Worker 901 S. Chapel Street, Newark, DE 19713 2015-09-11
1932503976 Kathleen Madara Physical Therapist 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 2014-10-20
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902407497 Brooke Ashley Sforza Nurse Practitioner 7518 Linnville Rd, Newark, OH 43056-9340 2020-11-03
1518574490 Stacie Guyton Nurse Practitioner 4501 Ogletown Stanton Road, Newark, DE 19713 2020-09-25
1104431352 Robert Storm Speelman Nurse Practitioner 1155 Saxony Dr, Newark, OH 43055-5643 2020-09-14
1770133613 Brooke Elise Abraham Nurse Practitioner 131 Rocky Fork Dr, Newark, OH 43055-8929 2019-09-12
1639636236 Danielle Ashley Westenberger Nurse Practitioner 201 Lyons Ave # L4, Newark, NJ 07112-2027 2019-03-01
1407321482 Jessie L Powell Nurse Practitioner 4755 Ogletown Stanton Rd Dept, Newark, DE 19718-2200 2018-10-05
1851892954 Chito Pascual Nurse Practitioner 7600 Gateway Blvd., Newark, CA 94560 2018-02-23
1588192421 Kareemah Hammond Nurse Practitioner 280 E Main St Ste 112, Newark, DE 19711-7324 2017-05-23
1285168070 Lin Chen Nurse Practitioner 201 Lyons Ave Ste D12, Newark, NJ 07112-2027 2017-04-18
1700329331 Fanta Schwarz Nurse Practitioner 514 W Hummock Ln, Newark, DE 19702-1498 2016-11-30
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Competitor

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City NEWARK
Zip Code 19713

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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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