Wiltshire, Marilyn

Wiltshire, Marilyn is an individual health care provider with primary practice located at 2015 Grand Concourse , Bronx NY 10453-4303. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Wiltshire, Marilyn can be contacted via phone (718) 299-7295.

Contact Information

Primary practice address
2015 Grand Concourse Bronx NY 10453-4303
Phone: (718) 299-7295
Fax: (718) 299-6797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 166699 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F380952 New York

Profile Details

NPI number 1346388683
LBN Legal business name Wiltshire, Marilyn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Oct 21st, 2019 - about 5 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 1346388683 NPPES
Georgia MEDICAID 313602063

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