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Wilma Diane Baliem (CRNP)

Wilma Diane Baliem (CRNP) is a health care provider specializes in Nurse Practitioner. She is associated with medical group practice UNIVERSITY OF SOUTH ALABAMA and is affiliated with hospital of University Of South Alabama Medical Center.

profile-icon Basic Information

Practice Location 1660 Springhill Avenue, Mobile, AL 36640-0430, US
Practice Location Phone251-665-8000
Practice Location Fax251-665-8010
GenderFemale
Specialty InNurse Practitioner
Medical SchoolOther
Graduation Year1984
NPI ?1871706978
PECOS ID2860584828
Enrollment IDI20070822000629
Entity TypeIndividual
Enumeration Date ? May 7, 2007
Last Update Date ? Jun 3, 2015
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Wilma Diane Baliem

SpecialtySpecializationLicenseLicense State
Nurse Practitioner 1-046774Alabama

Medicare-icon Medicare Participation of Wilma Diane Baliem

Accepts Medicare AssignmentYes
Report Quality Measures
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Wilma Diane Baliem

Medical Group PracticeUniversity Of South Alabama
Affiliation 1 University Of South Alabama Medical Center

legacy-id-icon Legacy Provider IDs of Wilma Diane Baliem

Provider IdIssuer StateIssuer TypeIssuer
051544202AlabamaOtherBCBS - 1660 SPRINGHILL AVE
51542600AlabamaOtherBCBS - HSF
891017418AlabamaMedicaid
308566000FloridaMedicaid
00985524MississippiMedicaid