Individual provider · Type 1 NPI

Nicole Marie Wilson, AGACNP-BC

Gerontology Nurse Practitioner · Youngstown, OH

NPI number 1922401223 Active

Practice location

1044 Belmont Ave
Youngstown, OH 44504-1006

Mailing address

9500 Euclid Aveune
Cleveland, OH 44195-0001

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XAPRN.CNP.16417 (OH)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1922401223

Nicole Marie Wilson, AGACNP-BC's National Provider Identifier is 1922401223, issued on Sep 30, 2014. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Youngstown, OH. The record was last updated on Oct 11, 2024.