Individual provider · Type 1 NPI

Burshonda Wilson

Driver · Warren, MI

NPI number 1023800562 Active

Practice location

13217 Frazho Rd
Warren, MI 48089-1302

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XOQLQ56 (MI)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1023800562

Burshonda Wilson's National Provider Identifier is 1023800562, issued on May 20, 2025. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Warren, MI. The record was last updated on May 20, 2025.