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Individual
MRS. ELLEN C WILHELM
Active
Individual
MRS. ELLEN C WILHELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
14569.0146
WY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
14569.146
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121720800
—
WY
01
—
313702
BLUE CROSS BLUE SHIELD
WY
Enumeration date
09/18/2007
Last updated
02/01/2012
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