Individual provider · Type 1 NPI
Montana Ashley Wilson, APRN
Nurse Practitioner · Phoenix, AZ
Practice location
5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Mailing address
PO Box 860912
Minneapolis, MN 55486-0912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 232437 (AZ) |
| Acute Care Nurse Practitioner | 363LA2100X | 232437 (AZ) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1285509927
Montana Ashley Wilson, APRN's National Provider Identifier is 1285509927, issued on Oct 10, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 10, 2025.