Wilson, Andrea
Wilson, Andrea is an individual health care provider with primary practice located at 9522 E San Salvador Dr Ste 206, Scottsdale AZ 85258-5557. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Wilson, Andrea can be contacted via phone (480) 991-6624.Contact Information
Primary practice address
9522 E San Salvador Dr Ste 206
Scottsdale AZ 85258-5557
Phone: (480) 991-6624
Fax: (480) 991-1649
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | RN086815 | Arizona |
Profile Details
NPI number | 1326031840 |
---|---|
LBN Legal business name | Wilson, Andrea |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 30th, 2005 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326031840 | NPPES |
Arizona | MEDICAID | 643686 |
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