Donna L Wilezol, NP
Nurse Practitioner in Atlantic City, NJ. Individual provider (NPI-1).
NPI number1720175136
StatusActive
Last updated in NPPESDec 13, 2022
Details
- NPI
- 1720175136
- Entity type
- Individual (NPI-1)
- Name
- Donna L Wilezol
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2006
- Certification date
- Dec 13, 2022
- Last updated
- Dec 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 26NN07455500 | NJ | Yes |
Practice location
1925 Pacific AveAtlanticare Regional Medical Center
Atlantic City, NJ 08401-6713
Phone 609-344-4081
Mailing address
6 Jason DrOcean View, NJ 08230-1711
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