Smiley Wilson, Niki Virginia

Smiley Wilson, Niki Virginia is an individual health care provider with primary practice located at 1120 E Broad St , Elyria OH 44035-6306. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smiley Wilson, Niki Virginia can be contacted via phone (440) 365-2600.

Contact Information

Primary practice address
1120 E Broad St Elyria OH 44035-6306
Phone: (440) 365-2600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.020284 Ohio

Profile Details

NPI number 1437698743
LBN Legal business name Smiley Wilson, Niki Virginia
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2017
Last updated Apr 17th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437698743 NPPES
Ohio MEDICAID 0209080

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