Wallette Gwen Widener

NP | Nurse Practitioner | 22+ years Exp

6602 Waters Ave Bldg C, Savannah
  Georgia, 31406-2716
912-354-7676
Accepts Medicare Nurse Anesthetist in Savannah, Georgia.
Wallette Gwen Widener is a Savannah, Georgia based nurse practitioner with 22 years of experience in . She completed her graduation in 2002. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Wallette Gwen Widener is RN113693 in Georgia. Her current practice location is 6602 Waters Ave Bldg C, Savannah. Patients can reach her at 912-354-7676 or can fax her at 912-790-6456. Wallette Gwen Widener is NP and her NPI number (Unique professional ID assigned by NPPES) is 1669580262.
Wallette Gwen Widener has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Wallette Gwen Widener speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Wallette Gwen Widener
Specialization: Nurse Practitioner (NP)
Gender:Female
Credentials: NP
Experience: 22+ years
Medical School Attended:Other
Graduation Year:2002
Accepts Medicare Assignment:Yes
Practice Address:6602 Waters Ave Bldg C, Savannah,
Georgia, 31406-2716
Phone:912-354-7676
Fax:912-790-6456
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 4880649961
Enrollment ID: I20050322000552
NPI Number: 1669580262
NPI Enumeration Date: 25 Aug, 2006
NPI Last Update On: 05 Aug, 2010

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wallette Gwen Widener are as mentioned below.
License NumberSpecializationStateStatus
RN113693 GeorgiaPrimary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(110043)Savannah, GAAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Wallette Gwen Widener is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Savannah Neurology Specialists P C (8224175641)10
Other Medical Identifiers:
Other legacy medical identifiers associated with Wallette Gwen Widener such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
410170417AMedicaidGeorgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Wallette Gwen Widener
6602 Waters Ave Bldg C,
Savannah, Georgia
Zip: 31406-2716
Phone Number: 912-354-7676
Fax Number: 912-790-6456
Patients can reach Wallette Gwen Widener at 6602 Waters Ave Bldg C, Savannah, Georgia or can call to book an appointment on 912-354-7676.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.