Individual provider · Type 1 NPI

Loretta K. Wilson, ANP

Adult Health Nurse Practitioner · Winston Salem, NC

NPI number 1861450983 Active

Practice location

Medical Center Blvd
Winston Salem, NC 27157-0001

Fax (336) 716-3202

Mailing address

PO Box 602658, Wake Forest University Health Sciences
Charlotte, NC 28260-2658

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X900352 (NC)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1861450983

Loretta K. Wilson, ANP's National Provider Identifier is 1861450983, issued on May 1, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Winston Salem, NC. The record was last updated on Apr 4, 2014.