Individual provider · Type 1 NPI
Melissa Wilson, RN
Case Management Registered Nurse · Elmhurst, NY
NPI number
1720410004
Active
Practice location
9131 Queens Blvd, Suite 604
Elmhurst, NY 11373-5555
Mailing address
794 Midwood St Apt 1D
Brooklyn, NY 11203-1407
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 666763 (NY) |
| Case Management Registered Nurse Primary | 163WC0400X | 666763 (NY) |
Case Management Registered Nurse: Definition to come...
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About NPI 1720410004
Melissa Wilson, RN's National Provider Identifier is 1720410004, issued on Aug 8, 2013. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Elmhurst, NY. The record was last updated on Aug 8, 2013.