Individual provider · Type 1 NPI
Angel Wilson
Licensed Practical Nurse · Lake Charles, LA
NPI number
1861963035
Active
Practice location
3440 Skipper St
Lake Charles, LA 70607-7599
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 343564 (TX) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1861963035
Angel Wilson's National Provider Identifier is 1861963035, issued on Dec 16, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Lake Charles, LA. The record was last updated on Dec 16, 2018.