BENJAMIN EDWARD WYLLIE (NPI# 1477846855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477846855 |
| Entity Type | Individual |
| Full Name | BENJAMIN EDWARD WYLLIE |
| Credential | NP |
| Practice Address |
8090 Winding Way Ct Springfield VA 22153-2433 |
| Practice Telephone | 7038451500 |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2020-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024165373 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8090 WINDING WAY CT |
| City | SPRINGFIELD |
| State | VA |
| Zip Code | 22153-2433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134672066 | National Seating & Mobility Inc. | Durable Medical Equipment & Medical Supplies | 7420 Fullerton Rd Ste 100, Springfield, VA 22153 | 2016-07-27 |
| 1861655532 | Joseph Anthony Romeo Jr. | Registered Nurse | 8665 Morning Star Ct, Springfield, VA 22153 | 2008-07-03 |
| 1538332127 | Drs Alayssami Hamid & Assoc PC | Dentist | 6230 Rolling Rd, Ste E, Springfield, VA 22153 | 2008-04-04 |
| 1619177854 | Nahee Williams Mcdonald | Dentist | 7841 Rolling Road, Suite F, Springfield, VA 22153 | 2007-07-24 |
| 1215080627 | Lauran Harvey Thomas | Counselor | 8988 Shadowlake Way, Springfield, VA 22153 | 2007-01-19 |
| 1013080886 | Mohamed M Hassan | Chiropractor | 1417 Reservation Dr, Springfield, VA 22153 | 2006-11-17 |
| 1881704419 | Costco Wholesale Corporation | Pharmacy | 7373 Boston Blvd, Springfield, VA 22153 | 2006-08-30 |
| 1023030483 | John Paul Demorro Jr. | Dentist | 7841 Rolling Rd, Suite C, Springfield, VA 22153 | 2006-07-24 |
| 1669822169 | Adanech W Kidanie | Student in an Organized Health Care Education/Training Program | 6885 Brian Michael Ct, Springfield, VA 22153-1032 | 2016-06-15 |
| 1356812994 | Stacey Smith | Doula | 8711 Whitson Ct, Springfield, VA 22153-1268 | 2018-12-07 |
| Find all providers in zip 22153 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072823 | Rachel Westbrook | Nurse Practitioner | 1417 Burning Bush Ct, Springfield, IL 62712-7529 | 2020-10-27 |
| 1730786377 | Catherine Newman | Nurse Practitioner | 27124 La-42, Springfield, LA 70462 | 2020-10-07 |
| 1275146268 | Courtney Wilbern | Nurse Practitioner | 1200 W Centre St, Springfield, IL 62704-5812 | 2020-08-28 |
| 1588276240 | Andrew Ronald Mouser | Nurse Practitioner | 607 Prospect Rd, Springfield, PA 19064-2819 | 2020-08-23 |
| 1821609082 | William Coleman Bryant | Nurse Practitioner | 5552 W Longleaf Dr, Springfield, MO 65802-7834 | 2020-08-12 |
| 1386254399 | Ashley Lynn Murray | Nurse Practitioner | 2443 E Greenwood St, Springfield, MO 65804-3907 | 2020-08-04 |
| 1679182281 | Erica Gail Hunt | Nurse Practitioner | 2813 Haverford Rd, Springfield, IL 62704-4267 | 2020-07-29 |
| 1063020063 | Gage Azeez | Nurse Practitioner | 46 Timber Ln, Springfield, MA 01119-2828 | 2020-07-16 |
| 1033737440 | Janne L Nicholson | Nurse Practitioner | 8360 Dunham Ct Apt G, Springfield, VA 22152-1122 | 2020-07-13 |
| 1922623156 | Amanda E Hildebrand | Nurse Practitioner | 3370 Carman Ave, Springfield, IL 62703-4642 | 2020-06-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 22153 |
Please comment or provide details below to improve the information on BENJAMIN EDWARD WYLLIE.
| 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.