Individual provider · Type 1 NPI

Emily Marie Reba Wilson

Primary Care Nurse Practitioner · Buckeye, AZ

NPI number 1770459968 Active

Practice location

1834 N 208th Ave
Buckeye, AZ 85396-5488

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X330058 (AZ)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1770459968

Emily Marie Reba Wilson's National Provider Identifier is 1770459968, issued on Oct 14, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Buckeye, AZ. The record was last updated on Oct 14, 2025.