CYNTHIA ANN WILDEMUTH (NPI# 1891067765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891067765 |
Entity Type | Individual |
Full Name | CYNTHIA ANN WILDEMUTH |
Credential | RNC MSN APN |
Practice Address |
2112 25th Avenue Rock Island IL 61201 |
Practice Telephone | 3097957088 |
Practice Fax Number | 3095582815 |
Mailing Telephone | 3097957088 |
Mailing Fax Number | 3095582815 |
Enumeration Date | 2012-02-07 |
Last Update Date | 2012-02-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
209.004796 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2112 25TH AVENUE |
City | ROCK ISLAND |
State | IL |
Zip Code | 61201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689206245 | Judy Kay Moore | Technician | 2439 8th Ave, Rock Island, IL 61201 | 2020-02-11 |
1053956862 | Christina Beam | Counselor | 1413 40th Street, Rock Island, IL 61201 | 2019-11-15 |
1356843817 | Stephanie Kaye Jones | Counselor | 2701 17th St., Rock Island, IL 61201 | 2018-03-01 |
1073062030 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 2239 24th Street Apt 15c, Rock Island, IL 61201 | 2016-09-30 |
1124575733 | Robert Young Center | Community Based Residential Treatment Facility, Mental Illness | 2701 - 17 Street, Rockisland, IL 61201 | 2016-09-01 |
1538520903 | James Keith Frainey | Psychologist | 805 19th Street, Transitions Mhs, Rock Island, IL 61201 | 2016-03-14 |
1417340837 | Brandon Lee Sachwitz | Physician Assistant | 2701 17th Street, Trinity Medical Center, Rock Island, IL 61201 | 2015-03-10 |
1215366679 | Kimberly Lyall | Physical Therapy Assistant | 767 30th Street, Rock Island, IL 61201 | 2013-11-06 |
1386080745 | The Abbey Center, LLC | Clinic/Center | 3031 5th Ave., Rock Island, IL 61201 | 2013-05-13 |
1487097382 | Joe Lee Westerhof | Veterinarian | 2529 11th St, Rock Island, IL 61201 | 2013-04-10 |
Find all providers in zip 61201 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396308458 | Alexandra H Pape | Nurse Practitioner | 10260 191st St Ste 100, Mokena, IL 60448-8802 | 2019-04-15 |
1306313754 | Klaudia Dorota Niedzwiecki | Nurse Practitioner | 654 W Veterans Pkwy Ste A, Yorkville, IL 60560-2510 | 2018-10-24 |
1295226728 | Cortney Elizabeth Patrick | Nurse Practitioner | 2900 Frank Scott Pkwy W Ste 966, Belleville, IL 62223-5000 | 2018-05-21 |
1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
1124464110 | Michelle Yonkus | Nurse Practitioner | 500 E 22nd St Ste A, Lombard, IL 60148-6102 | 2013-05-16 |
1457600306 | Julie Duff | Nurse Practitioner | 5425 W. Addison, Chicago, IL 60641 | 2012-09-06 |
1174803753 | Patricia J Fiorito | Nurse Practitioner | 801 S Milwaukee Ave # 110, Libertyville, IL 60048-3204 | 2011-08-26 |
1619102456 | Vickie Eileen Ellis | Nurse Practitioner | 201 W. Kenyon Rd, Champaign, IL 61820-7892 | 2009-05-22 |
1942465554 | Maryann Ulery | Nurse Practitioner | 3 Austrian Ct, Lake In The Hills, IL 60156-6515 | 2008-07-23 |
1467666453 | Shelly Sinatra | Nurse Practitioner | 3310 W. Main St, Suite 200, St. Charles, IL 60175 | 2007-05-09 |
Find all providers with the same taxonomy |
City | ROCK ISLAND |
Zip Code | 61201 |
Please comment or provide details below to improve the information on CYNTHIA ANN WILDEMUTH.
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.