Individual provider · Type 1 NPI

Carly Anne Wilson, PA

Physician Assistant · Raphine, VA

NPI number 1316698582 Active

Practice location

25 Commerce Park Dr
Raphine, VA 24472-2547

Mailing address

40 Ball Diamond Trl
Vesuvius, VA 24483-2901

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0110008398 (VA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1316698582

Carly Anne Wilson, PA's National Provider Identifier is 1316698582, issued on Jan 10, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Raphine, VA. The record was last updated on Mar 14, 2022.