Provider Demographics
NPI:1750706081
Name:WILHELM, LORINA (NP)
Entity type:Individual
Prefix:
First Name:LORINA
Middle Name:
Last Name:WILHELM
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:LORINA
Other - Middle Name:
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1215 S COULTER ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-1758
Mailing Address - Country:US
Mailing Address - Phone:806-358-8331
Mailing Address - Fax:806-677-2024
Practice Address - Street 1:800 OAK RIDGE TPKE STE A402
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-6951
Practice Address - Country:US
Practice Address - Phone:865-637-8812
Practice Address - Fax:865-824-4886
Is Sole Proprietor?:No
Enumeration Date:2014-02-24
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35256363LF0000X
TXAP125151363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX336693204Medicaid
TX336693204Medicaid