Roberta Lynn Wilson, CNP is a
Advanced Practice Midwife based in Clovis, New Mexico. Roberta Lynn Wilson is licensed to practice in New Mexico (license number R25845) and her current practice location is
2000 W. 21st St, Suite A-1, Clovis, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(575) 762-8055.
NPI number for Roberta Lynn Wilson is 1457395113 and her current mailing address is 2000 W. 21st St, Suite A-1, Clovis, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457395113.
Provider's Profile
Full Name | Roberta Lynn Wilson |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 2000 W. 21st St, Clovis, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457395113
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 06/26/2008
Medical Identifiers
Medical identifiers for Roberta Lynn Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457395113 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | R25845 (New Mexico) | 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. Roberta Lynn Wilson 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 |
Roberta Lynn Wilson, CNP 2000 W. 21st St, Suite A-1, Clovis, NM 88101 Ph: (575) 762-8055 | Roberta Lynn Wilson, CNP 2000 W. 21st St, Suite A-1, Clovis, NM 88101 Ph: (575) 762-8055 |
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