Individual provider · Type 1 NPI

Gena R. Wilson, PNP

Pediatric Nurse Practitioner · Phoenix, AZ

NPI number 1861453490 Active

Practice location

1920 E Cambridge Ave Ste 304
Phoenix, AZ 85006

Fax (602) 933-2415

Mailing address

3200 E Camelback Rd Ste 250
Phoenix, AZ 85018-2327

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200XRN060806 (AZ)
Pediatric Nurse Practitioner Primary 363LP0200XAP6776 (AZ)

Pediatric Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1861453490

Gena R. Wilson, PNP's National Provider Identifier is 1861453490, issued on Mar 31, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 25, 2018.