CYNTHIA R WILSON


Address: 1313 N Main St, Beaver Dam, KY 42320-8957
Phone: 2702989928

CYNTHIA R WILSON (NPI# 1700872009) 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) 1700872009
Entity Type Individual
Full Name CYNTHIA R WILSON
Credential ARNP
Practice Address 1313 N Main St
Beaver Dam
KY 42320-8957
Mailing Address Po Box 148
Hartford
KY 42347-0148
Practice Telephone 2702989928
Practice Fax Number 2702740134
Mailing Telephone 2705041300
Mailing Fax Number 2705041380
Enumeration Date 2005-09-22
Last Update Date 2014-11-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
4410P KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY 78012713 05

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Office Location

Street Address 1313 N MAIN ST
City BEAVER DAM
State KY
Zip Code 42320-8957

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265981708 Helping Hands Counseling Services, LLC Social Worker 1313 N Main St, Beaver Dam, KY 42320-8957 2016-09-26
1346639622 Jennifer D. Alsman Social Worker 1313 N Main St, Beaver Dam, KY 42320-8957 2015-01-09
1942493275 Ohio County Hospital Corporation Family Medicine 1313 N Main St, Beaver Dam, KY 42320 2007-08-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386123198 Tate Downing Physical Therapist 1595 Us Hwy 31 S, Beaver Dam, KY 42320 2018-08-13
1679792196 Bradford Elrod Mutchler Preventive Medicine 1219 N. Main St, Beaver Dam, KY 42320 2007-04-24
1922169259 Kenneth Dwain Alford Dentist 1269 Duvall Rd, Suite 2, Beaver Dam, KY 42320 2006-12-12
1205909330 Susan Smith Rice Nurse Practitioner 1219 North Main St, Norsworthy Medical Assoc., Psc, Beaver Dam, KY 42320 2006-11-16
1104929322 Armand Jules Rigaux Emergency Medicine 1219 N. Main St., Beaver Dam, KY 42320 2006-09-06
1326050329 Jonathan L Shrewsbury Optometrist 1303 North Main St., Beaver Dam, KY 42320 2006-08-12
1376583690 Donald Kevin Gregory Emergency Medicine 1213 North Main Street, Beaver Dam, KY 42320 2006-06-07
1982182317 Bright Futures Behavioral Health Nurse Practitioner 1625 N Main St, Beaver Dam, KY 42320 2018-07-28
1669824744 Aspire Behavioral Therapy, LLC Counselor 343 S Main St, Beaver Dam, KY 42320 2016-07-12
1457760662 Wendy Russell Counselor 343 S Main St, Beaver Dam, KY 42320 2014-08-13
Find all providers in zip 42320

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609994789 Bluegrass Regional Healthcare Nurse Practitioner 1307 N Main St, Beaver Dam, KY 42320-8957 2007-03-27
1972598753 Mary A Moore Nurse Practitioner 215 Corporate Dr, Suite B, Beaver Dam, WI 53916-3123 2005-09-16
1922000736 Susan B Matthews Nurse Practitioner 1621 N Main St, Beaver Dam, KY 42320-8963 2005-08-11
1316941701 Mary Ann Chambers Nurse Practitioner 707 S University Ave, Beaver Dam, WI 53916-3027 2005-06-13
1871067553 Chris Alan Thomas II Nurse Practitioner 1701 N Spring St, Beaver Dam, WI 53916-1178 2019-01-16
1215457288 Courtney Nicole Keller Nurse Practitioner 1213 N Main St, Beaver Dam, KY 42320-8955 2017-06-21
1972973865 Alelea B. Hewitt Nurse Practitioner 1520 N Main St, Beaver Dam, KY 42320-8960 2015-10-05
1134530769 Lisa Drew Nurse Practitioner 110 Monroe St, Beaver Dam, WI 53916-2437 2014-05-16
1659700375 Jennifer Shepard Nurse Practitioner 707 S University Ave, Beaver Dam, WI 53916-3027 2013-11-04
1730513243 Dawn Debra Poull Nurse Practitioner 707 S University Ave, Beaver Dam, WI 53916-3027 2013-09-03
Find all providers in BEAVER DAM

Competitor

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City BEAVER DAM
Zip Code 42320

Improve Information

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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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