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Theresa Wilson, PNP

NPI 1447481502 · on the registry since 2009

Practice

Address
210 W 139th St
C/O Edward Nichols Md
New York, NY 10030
Phone
(212) 234-2121
Fax
(212) 234-1759
Clinicians at this address
3

Registry record

Primary taxonomy
363LP0200X
363LP0200X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-08-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York