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:
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Health care specialties

SpecialtyCodeLicense #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 18 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 1326031840 NPPES
Arizona MEDICAID 643686

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