Marsha Ann Wilburn, P.N.

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

123587 Issued in OH

Practice address

4608 Little Richmond Rd
Dayton, OH 45417-9416

Phone

(937) 726-2612

NPI assigned

Jul 2, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Advanced Practice Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1134431356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4608 LITTLE RICHMOND RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45427",
            "telephone_number": "937-726-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4608 LITTLE RICHMOND RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454179416",
            "telephone_number": "937-726-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBURN",
        "first_name": "MARSHA",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "P.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-02",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "123587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory John Wightman, L.P.C.C. SUPV.
• John R Wigneswaran, MD
• Abigayle Lynette Wilbanks, M.A. CCC-SLP
• Jeffrey Robert Wilbert, PH.D.
• Tishawna Wilborn
• Samantha Wilburn, CSFA
• John Scott Wilcher, MD
• Amira K Wilcox
• Harry Paul Wilcox, RN
• Kimberly Wilcox, RN

• Licensed Practical Nurse in Dayton, OH
• Providers in Dayton, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.