Wilson, Carlie

Wilson, Carlie is an individual health care provider with primary practice located at 19360 Shadyside St , Livonia MI 48152-1319. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Wilson, Carlie can be contacted via phone (734) 678-7186.

Contact Information

Primary practice address
19360 Shadyside St Livonia MI 48152-1319
Phone: (734) 678-7186
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X 2021000750 Michigan

Profile Details

NPI number 1013596139
LBN Legal business name Wilson, Carlie
Credentials MSN, PRN, AGCNS-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2021
Last updated Apr 6th, 2021 - about 4 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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