Doctor Name: | MISS MARSHA ANN WILBURN |
NPI Number: | 1134431356 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.N. |
License Number: | 123587 |
Business Practice Address: | 4608 Little Richmond Rd Dayton, OH - 454179416 |
Business Phone Number: | 9377262612 |
Business Fax Number: | |
Mailing Address: | 4608 Little Richmond Rd, DAYTON |
State: | OH |
Postal Code: | 45427 |
Phone Number: | 9377262612 |
Fax Number: | |
NPI Enumeration Date: | 07/02/2010 |
NPI Last Update Date: | 07/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | 123587 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |