ROBERT EARL WILDWOOD LPN
NPI 1639845795
Licensed Practical Nurse in Duluth, MN

Q: What is Robert Wildwood's NPI number?

The NPI number for Robert Wildwood is 1639845795. It was assigned to this individual provider in the NPPES registry on August 19, 2021.

Q: What is Robert Wildwood's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Wildwood was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 19, 2021

935 KENWOOD AVE, DULUTH, MN 55811(218) 396-3787 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Robert Earl Wildwood Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT EARL WILDWOOD LPN (NPI 1639845795) is an individual licensed practical nurse in Duluth, Minnesota, licensed in Minnesota (822435) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1639845795

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameROBERT EARL WILDWOODCredential: LPN

Location Address935 KENWOOD AVEDuluth, MN 55811-4951

Mailing Address1225 E 11th StDuluth, MN 55805-1559 · (612) 558-7273

Phone(218) 396-3787

Sole ProprietorNo

Enumeration DateAugust 19, 2021

NPPES CertifiedAugust 19, 2021

✔ NPI 1639845795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in MN · 822435

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

935 KENWOOD AVE, Duluth, MN 55811

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANA VETSCH

Registered Nurse

935 KENWOOD AVE
DULUTH, MN 55811

St. Louis County (218) 522-8906

BENEDICTINE HEALTH CENTER

Skilled Nursing Facility

935 KENWOOD AVE
DULUTH, MN 55811

St. Louis County (218) 723-6408

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Wildwood's NPI number?

The NPI number for Robert Wildwood is 1639845795. It was assigned to this individual provider in the NPPES registry on August 19, 2021.

Where is Robert Wildwood located?

Robert Wildwood practices at 935 Kenwood Ave, Duluth, MN 55811. The listed phone number is (218) 396-3787.

What is Robert Wildwood's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Robert Wildwood was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.