Wilson, Carol Ellen

Wilson, Carol Ellen is an individual health care provider with primary practice located at 205 8Th St , Hoquiam WA 98550-2507. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse, Behavioral Health & Social Service Providers / Mental Health. Nursing Service Providers / Registered Nurse is her primary health care specialty. Wilson, Carol Ellen can be contacted via phone (360) 236-5328.

Contact Information

Primary practice address
205 8Th St Hoquiam WA 98550-2507
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN00086590 Washington
Nursing Service Providers / Registered Nurse 163W00000X RN00086590 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X RN00086590 Washington

Profile Details

NPI number 1558738641
LBN Legal business name Wilson, Carol Ellen
Credentials RN, MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2015
Last updated Nov 30th, 2022 - about 2 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 1558738641 NPPES
Washington Other WAC 3888650150 MENTAL HEALTH PROFESSIONAL BY MENTAL HEALTH DIVISION OF WA STATE
Washington Other 0216286 MENTAL HEALTH PROFESSIONAL BY MENTAL HEALTH DIVISION OF WA STATE
Washington Other RN00086590 MENTAL HEALTH PROFESSIONAL BY MENTAL HEALTH DIVISION OF WA STATE

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