Individual provider · Type 1 NPI
Danica Lynn Wilson, PA-C
Medical Physician Assistant · New Bethlehem, PA
NPI number
1508699174
Active
Practice location
102 South St
New Bethlehem, PA 16242-1238
Mailing address
2730 Ninevah Rd
Knox, PA 16232-6542
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | MA065834 (PA) |
Medical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1508699174
Danica Lynn Wilson, PA-C's National Provider Identifier is 1508699174, issued on Aug 20, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Bethlehem, PA. The record was last updated on Feb 19, 2026.