Individual provider · Type 1 NPI

Diane Gail Wilson, NP

Pediatric Nurse Practitioner · Mineola, NY

NPI number 1386921229 Active

Practice location

259 1st St
Mineola, NY 11501-3957

Fax (516) 663-3698

Mailing address

PO Box 27686
New York, NY 10087-7686

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XF381239 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1386921229

Diane Gail Wilson, NP's National Provider Identifier is 1386921229, issued on Nov 7, 2011. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Mineola, NY. The record was last updated on Nov 7, 2011.