Individual provider · Type 1 NPI

Tracy A. Wilson, LPN

Licensed Practical Nurse · Pearl Harbor, HI

NPI number 1245644186 Active

Practice location

480 Central Ave
Pearl Harbor, HI 96860-4908

Mailing address

2370 Pond Rd
Kailua, HI 96734-4842

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN-17153 (HI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1245644186

Tracy A. Wilson, LPN's National Provider Identifier is 1245644186, issued on Jun 18, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Pearl Harbor, HI. The record was last updated on Jun 18, 2014.