Wilke, Donna

Wilke, Donna is an individual health care provider with primary practice located at 2034 N 3Rd St , Phoenix AZ 85004. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Wilke, Donna can be contacted via phone (602) 288-0777.

Contact Information

Primary practice address
2034 N 3Rd St Phoenix AZ 85004
Phone: (602) 288-0777
Fax: (602) 340-0398
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN056121 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP188 Arizona

Profile Details

NPI number 1891756433
LBN Legal business name Wilke, Donna
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jun 2nd, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891756433 NPPES
Arizona MEDICAID 177479

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