Individual
CHARLES ZACHARY WILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
8442 DIXIE HWY, LOUISVILLE, KY 40258-1140
(502) 638-4280
(502) 638-4281
Mailing address
8442 DIXIE HWY, LOUISVILLE, KY 40258-1140
(502) 638-4280
(502) 638-4281
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1129505
KY
363L00000X
Nurse Practitioner
1129505
KY
363LF0000X
Family Nurse Practitioner
Primary
3017489
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3017489
LICENSE NUMBER
KY
Enumeration date
01/28/2022
Last updated
03/02/2022
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