Wilson, Chanelle

Wilson, Chanelle is an individual health care provider with primary practice located at 249 Millington Rd , Cortlandt Manor NY 10567. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wilson, Chanelle can be contacted via phone (610) 442-0979.

Contact Information

Primary practice address
249 Millington Rd Cortlandt Manor NY 10567
Phone: (610) 442-0979
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 341582 New York

Profile Details

NPI number 1073025482
LBN Legal business name Wilson, Chanelle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2017
Last updated Oct 26th, 2017 - about 7 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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