Provider Demographics
NPI:1699755678
Name:WILBUR, VERONICA FARMER (PHD APRN-FNP)
Entity type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:FARMER
Last Name:WILBUR
Suffix:
Gender:F
Credentials:PHD APRN-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 WILLOW WAY
Mailing Address - Street 2:
Mailing Address - City:LINCOLN UNIVERSITY
Mailing Address - State:PA
Mailing Address - Zip Code:19352-1224
Mailing Address - Country:US
Mailing Address - Phone:610-283-2310
Mailing Address - Fax:
Practice Address - Street 1:1400 PHILADELPHIA PIKE STE A4
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19809-1856
Practice Address - Country:US
Practice Address - Phone:302-375-6746
Practice Address - Fax:302-375-6822
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP00365B363LF0000X
MDR148066363LF0000X
DEG-0000278363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAS46576Medicare UPIN