Individual provider · Type 1 NPI

Roberta Joan Wilson

Licensed Practical Nurse · Hoquiam, WA

NPI number 1619466869 Active

Practice location

615 8th St
Hoquiam, WA 98550-3522

Fax (360) 538-0124

Mailing address

921 14th Ave
Longview, WA 98632-2316

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X00052097 (WA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1619466869

Roberta Joan Wilson's National Provider Identifier is 1619466869, issued on May 3, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Hoquiam, WA. The record was last updated on May 3, 2018.