Individual provider · Type 1 NPI

Peyton Wilson

Critical Care Medicine Registered Nurse · Danville, PA

NPI number 1053163659 Active

Practice location

100 N Academy Ave
Danville, PA 17822-9800

Fax (570) 271-6762

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist 367500000XRN719752 (PA)
Critical Care Medicine Registered Nurse Primary 163WC0200XRN719752 (PA)

Critical Care Medicine Registered Nurse: Definition to come...

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About NPI 1053163659

Peyton Wilson's National Provider Identifier is 1053163659, issued on Apr 5, 2024. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Danville, PA. The record was last updated on Jul 10, 2026.