Wayne D. Wilkens NP
Nurse Practitioner in Charlotte, NC(View on Map)
Full Name
Wayne Douglas Wilkens NP
NPI Number
1164942892
NPI Type
Individual Provider
Gender
Male
Enumeration Date
06/23/2017
Specialties
(Taxonomies)Licenses
State
North Carolina
License Number
5009412
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 19305
1225 HARDING PL
City
Charlotte
Charlotte
State
NC
NC
Postal Code
28219-9305
28204-2826
Country
US
US
Telephone Number
N/A
(704) 331-9669
Health Information Exchange
Endpoint Type
DIRECT
CONNECT
Endpoint
wwilkensjr35388@CarolinasHealthcareSystem.direct-ci.com
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint Description
Unknown
2.16.840.1.113883.3.667.2
Use
Unknown
Other
Content Type
Unknown
Unknown
Affiliation
Y
Y
Endpoint Location
Atrium Health1225 Harding PlSte 2100Charlotte, NC282042826US
ABILITY Network100 N 6th St Ste 900AMinneapolis, MN554031516US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/15/2024