Individual provider · Type 1 NPI

Carmen Ann Wilson, PA

Physician Assistant · St. Louis, MO

NPI number 1780715896 Active

Practice location

4500 Forest Park Ave, Div Im Bone Marrow Transplant, 5th, 6th, 8th Fl
St. Louis, MO 63108-2114

Call (314) 454-8304 Map

Fax (314) 454-5902

Mailing address

PO Box 7412011
Chicago, IL 60674-2011

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2000145768 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1780715896

Carmen Ann Wilson, PA's National Provider Identifier is 1780715896, issued on Mar 8, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 17, 2025.