Emily G Wilford, CRNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

NP-07849 Issued in OH

Practice address

2663 Cleveland Ave NW
Canton, OH 44709-3393

Phone

(330) 456-5329

Fax

(330) 456-9679

NPI assigned

Mar 1, 2007

Reactivated

Aug 26, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1811025059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 9TH ST",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213125",
            "telephone_number": "330-926-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2663 CLEVELAND AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093393",
            "telephone_number": "330-456-5329",
            "fax_number": "330-456-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILFORD",
        "first_name": "EMILY",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2024-08-26",
        "certification_date": "2022-02-15",
        "deactivation_date": "2022-02-15",
        "reactivation_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "NP-07849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3015954",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya Wilder
• Linda Sue Wilds
• Thomas Wiles
• Alexandria Jaeann Wiley
• Michelle Nichole Wiley, LPC
• Michelle Sara Wilhelm Gasser, CRNA
• Kelly Wilkin, MSW, LISW-S
• Katie Wilkinson, LPC
• Traci Wilkinson, RN
• Walter Wilks

• Women's Health Nurse Practitioner in Canton, OH
• Providers in Canton, OH by specialty
• Women's Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.