Individual provider · Type 1 NPI

Randall Ann Wilson, AGACNP

Acute Care Nurse Practitioner · Columbia, SC

NPI number 1013420900 Active

Practice location

6439 Garners Ferry Rd
Columbia, SC 29209-1638

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X21430 (SC)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1013420900

Randall Ann Wilson, AGACNP's National Provider Identifier is 1013420900, issued on Nov 14, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Columbia, SC. The record was last updated on Nov 14, 2017.