Individual provider · Type 1 NPI

Shiby Mathew Wilson, NURSE PRACTITIONER

Family Nurse Practitioner · Houston, TX

NPI number 1457772048 Active

Practice location

1515 Holcombe Blvd
Houston, TX 77030-4000

Fax (832) 449-5647

Mailing address

PO Box 4439
Houston, TX 77210-4439

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X748693 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1457772048

Shiby Mathew Wilson, NURSE PRACTITIONER's National Provider Identifier is 1457772048, issued on Dec 26, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Houston, TX. The record was last updated on Jan 22, 2015.