Individual
MRS. DEBRA ANN WILHELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6601 VENTNOR AVE, TROY AVENUE ST14, VENTNOR CITY, NJ 08406-2167
(609) 487-6507
Mailing address
6601 VENTNOR AVENUE, TROY AVENUE ST14, VENTNOR CITY, NJ 08406
(609) 487-6507
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NN07804900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740230952
GROUP PRACTICE NPI
NJ
Enumeration date
01/09/2007
Last updated
12/05/2014
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