Individual provider · Type 1 NPI

Colleen Warren McWilson, NP

Pediatric Nurse Practitioner · Charlotte, NC

NPI number 1174099873 Active

Practice location

1001 Blythe Blvd
Charlotte, NC 28203-5866

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

  • 100 Medical Park Dr, Ste 310, Concord, NC 28025-2948 · (704) 403-2660
  • 1001 Blythe Blvd, Charlotte, NC 28203-5866 · (704) 381-9900

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X5011158 (NC)
Pediatric Nurse Practitioner Primary 363LP0200X5011158 (NC)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1174099873

Colleen Warren McWilson, NP's National Provider Identifier is 1174099873, issued on Oct 19, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Charlotte, NC. The record was last updated on Jul 15, 2024.