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
Phone: (928) 773-8152
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750506770 | NPPES |
| Arizona | MEDICAID | 834417 |
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