| Doctor Name: | MISS CONNIE DENISE WILBURN |
| NPI Number: | 1285897652 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 2737P |
| Business Practice Address: | 806 Seaton Ave Suite 1 Greenup, KY - 411441196 |
| Business Phone Number: | 6064739838 |
| Business Fax Number: | 6064736405 |
| Mailing Address: | Po Box 377, GREENUP |
| State: | KY |
| Postal Code: | 411440377 |
| Phone Number: | 6064739838 |
| Fax Number: | 6064736405 |
| NPI Enumeration Date: | 07/07/2008 |
| NPI Last Update Date: | 02/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 2737P |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |