Individual
WILMA IRWIN FEIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-035619
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009981850
—
AL
01
—
03307018
MISSISSIPPI MEDICAID
MS
01
—
051505381
BLUE CROSS
AL
05
—
051505381
—
AL
01
—
051505383
BLUE CROSS
AL
01
—
500022973
RAILROAD MEDICARE
AL
Enumeration date
02/23/2006
Last updated
10/31/2011
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