Individual provider · Type 1 NPI

Chantal Tanisha Marie Wilson

Registered Nurse · Orange, NJ

NPI number 1023442407 Active

Practice location

765 Vose Ave, Apt B10
Orange, NJ 07050-1060

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X670331 (NY)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1023442407

Chantal Tanisha Marie Wilson's National Provider Identifier is 1023442407, issued on Aug 21, 2013. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Orange, NJ. The record was last updated on Aug 21, 2013.