PETER NELSON WILDEBOER DO
NPI 1912693193
Student in an Organized Health Care Education/Training Program in Fayetteville, NC
About Peter Nelson Wildeboer Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETER NELSON WILDEBOER DO (NPI 1912693193) is an individual student in an organized health care education/training program in Fayetteville, North Carolina and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Peter Nelson Wildeboer Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912693193, enumerated as an "individual" on April 12, 2023.
The provider is located at 1638 OWEN DR FAYETTEVILLE, NC 28304 and the phone number is (910) 615-4000.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
