1811769896 NPI number — MRS. DARCI ANN WILKINSON MSN, APRN, FNP

Table of content: MRS. DARCI ANN WILKINSON MSN, APRN, FNP (NPI 1811769896)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811769896 NPI number — MRS. DARCI ANN WILKINSON MSN, APRN, FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WILKINSON
Provider First Name:
DARCI
Provider Middle Name:
ANN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MSN, APRN, FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DRAKE
Provider Other First Name:
DARCI
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1811769896
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/01/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 206
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MINNEAPOLIS
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55480-0206
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
612-262-9000
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 5TH AVE NE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ISANTI
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55040-2205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
763-688-9700
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/24/2023

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  10935 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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