Individual provider · Type 1 NPI

Carol S. Wilson, NP

Pediatric Nurse Practitioner · Boston, MA

NPI number 1750359774 Active

Practice location

133 Brookline Ave
Boston, MA 02215-3904

Call (617) 421-1000 Map

Fax (617) 421-6084

Mailing address

147 Milk St, Provider Enrollment - 9th Floor
Boston, MA 02109-4806

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X167232 (MA)
Pediatric Nurse Practitioner Primary 363LP0200X167232 (MA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1750359774

Carol S. Wilson, NP's National Provider Identifier is 1750359774, issued on Mar 8, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Jul 13, 2026.