Individual provider · Type 1 NPI

Bernice Wilson

Specialist · Fort Wayne, IN

NPI number 1649458662 Active

Practice location

4202 Buell Dr
Fort Wayne, IN 46807-2743

Call (260) 341-4756 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X32001561A (IN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1649458662

Bernice Wilson's National Provider Identifier is 1649458662, issued on Jan 31, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jan 31, 2008.