Provider Demographics
NPI:1851939615
Name:WIMBISH, ERIKA MARIE (RN)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:MARIE
Last Name:WIMBISH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2240 WILLIAM PENN HWY
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-2775
Mailing Address - Country:US
Mailing Address - Phone:412-727-6306
Mailing Address - Fax:703-229-4181
Practice Address - Street 1:2240 WILLIAM PENN HWY
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-2775
Practice Address - Country:US
Practice Address - Phone:412-727-6306
Practice Address - Fax:703-229-4181
Is Sole Proprietor?:No
Enumeration Date:2019-12-11
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001200157163WH0200X
DCRN1011194163WN0800X, 163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WN0800XNursing Service ProvidersRegistered NurseNeuroscience