Individual provider · Type 1 NPI
Susan E. Wilson, CPNP
Critical Care Neonatal Nurse Practitioner · Maryville, TN
NPI number
1336174093
Active
Practice location
616 Smithview Dr
Maryville, TN 37803-6100
Fax (865) 738-0087
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Neonatal Nurse Practitioner Primary | 363LN0005X | APN12098 (TN) |
Critical Care Neonatal Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1336174093
Susan E. Wilson, CPNP's National Provider Identifier is 1336174093, issued on Jul 11, 2006. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Maryville, TN. The record was last updated on Mar 7, 2023.