Mrs Tammy Ann Wildesen, LPN is a
Licensed Practical Nurse based in Keyser, West Virginia. Mrs Tammy Ann Wildesen is licensed to practice in Maryland (license number LP29110) and her current practice location is
1952 New Creek Hwy, Keyser, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 597-3522.
NPI number for Mrs Tammy Ann Wildesen is 1932819265 and her current mailing address is 1952 New Creek Hwy, Keyser, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932819265.
Provider's Profile
Full Name | Mrs Tammy Ann Wildesen |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 1952 New Creek Hwy, Keyser, West Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1932819265
- Provider Enumeration Date: 11/28/2022
- Last Update Date: 11/28/2022
Medical Identifiers
Medical identifiers for Mrs Tammy Ann Wildesen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932819265 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | LP29110 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tammy Ann Wildesen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Tammy Ann Wildesen, LPN 1952 New Creek Hwy, Keyser, WV 26726-7494 Ph: (304) 597-3522 | Mrs Tammy Ann Wildesen, LPN 1952 New Creek Hwy, Keyser, WV 26726-7494 Ph: (304) 597-3522 |
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