Individual provider · Type 1 NPI
Micah Loren Wilson, NP-C
Family Nurse Practitioner · Rutherford College, NC
NPI number
1053720730
Active
Practice location
111 Hilltop Street
Rutherford College, NC 28671
Mailing address
100 Medical Heights Dr
Morganton, NC 28655-5197
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 5006984 (NC) |
Family Nurse Practitioner: Definition to come...
About NPI 1053720730
Micah Loren Wilson, NP-C's National Provider Identifier is 1053720730, issued on Aug 7, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rutherford College, NC. The record was last updated on Aug 7, 2014.