Wilson, Carmelita A

Wilson, Carmelita A is an sole proprietor health care provider with primary practice located at 3285 E Sparrow Ave , Flagstaff AZ 86004-7794. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Wilson, Carmelita A can be contacted via phone (928) 773-8152.

Contact Information

Primary practice address
3285 E Sparrow Ave Flagstaff AZ 86004-7794
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X RN058184 Arizona

Profile Details

NPI number 1750506770
LBN Legal business name Wilson, Carmelita A
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750506770 NPPES
Arizona MEDICAID 834417

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