Doctor Name: | SABRINA WILKOWSKY |
NPI Number: | 1649508474 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | A03305 |
Business Practice Address: | 134 Cabanel Dr Maumelle, AR - 721137300 |
Business Phone Number: | 8702195740 |
Business Fax Number: | 5017532733 |
Mailing Address: | 134 Cabanel Dr, MAUMELLE |
State: | AR |
Postal Code: | 721137300 |
Phone Number: | 8702195740 |
Fax Number: | 5017532733 |
NPI Enumeration Date: | 12/07/2009 |
NPI Last Update Date: | 07/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A03305 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |