Kathleen Wilde, RN is a
Registered Nurse based in Pismo Beach, California. Kathleen Wilde is licensed to practice in California (license number 365707) and her current practice location is
468 Bello St, Pismo Beach, California. She can be reached at her office (for appointments etc.) via phone at
(805) 452-3225.
NPI number for Kathleen Wilde is 1437552403 and her current mailing address is 468 Bello St, Pismo Beach, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437552403.
Provider's Profile
| Full Name | Kathleen Wilde |
|---|
| Gender | Female |
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| Speciality | Registered Nurse |
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| Location | 468 Bello St, Pismo Beach, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1437552403
- Provider Enumeration Date: 10/03/2014
- Last Update Date: 10/03/2014
Medical Identifiers
Medical identifiers for Kathleen Wilde such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437552403 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 365707 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Wilde is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kathleen Wilde, RN
468 Bello St,
Pismo Beach, CA 93449-2702
Ph: (805) 452-3225 | Kathleen Wilde, RN
468 Bello St,
Pismo Beach, CA 93449-2702
Ph: (805) 452-3225 |
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