Provider Demographics
NPI:1235827445
Name:PILKINGTON, VANDIS PATRICE
Entity Type:Individual
Prefix:
First Name:VANDIS
Middle Name:PATRICE
Last Name:PILKINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 W 47TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44144-1902
Mailing Address - Country:US
Mailing Address - Phone:216-732-0259
Mailing Address - Fax:
Practice Address - Street 1:4301 W 47TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44144-1902
Practice Address - Country:US
Practice Address - Phone:216-732-0259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider