Individual provider · Type 1 NPI
Theresa Cecelia Wilson, PNP
Pediatric Nurse Practitioner · New York, NY
NPI number
1447481502
Active
Practice location
210 W 139th St, C/o Edward Nichols Md
New York, NY 10030-2109
Fax (212) 234-1759
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 380137 (NY) |
Pediatric Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1447481502
Theresa Cecelia Wilson, PNP's National Provider Identifier is 1447481502, issued on Aug 6, 2009. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Aug 6, 2009.