Wilson, Edna L.

Wilson, Edna L. is an individual health care provider with primary practice located at 601 Brooker Creek Blvd , Oldsmar FL 34677-2962. 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, Edna L. can be contacted via phone (727) 308-9972.

Contact Information

Primary practice address
601 Brooker Creek Blvd Oldsmar FL 34677-2962
Phone: (727) 308-9972
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN2810512 Florida

Profile Details

NPI number 1932434545
LBN Legal business name Wilson, Edna L.
Credentials APRN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2009
Last updated Aug 23rd, 2019 - about 5 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 1932434545 NPPES
Florida MEDICAID 0067383115

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