Individual provider · Type 1 NPI

Carol J. Wilson, PNP

Pediatric Nurse Practitioner · St. Louis, MO

NPI number 1922026731 Active

Practice location

660 S Euclid Ave
St. Louis, MO 63110-1010

Call (314) 454-6051 Map

Fax (314) 454-4801

Mailing address

PO Box 8221, 7425 Forsyth
St. Louis, MO 63156-8221

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X048768 (MO)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1922026731

Carol J. Wilson, PNP's National Provider Identifier is 1922026731, issued on Jul 18, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Louis, MO. The record was last updated on Dec 28, 2007.