Wilson-Edwards, Alice R

Wilson-Edwards, Alice R is an individual health care provider with primary practice located at 700 Spruce Street Pine Basement West, Philadelphia PA 19107-6130. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Wilson-Edwards, Alice R can be contacted via phone (215) 829-3264.

Contact Information

Primary practice address
700 Spruce Street Pine Basement West Philadelphia PA 19107-6130
Phone: (215) 829-3264
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X C0003416 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA053836 Pennsylvania

Profile Details

NPI number 1801937859
LBN Legal business name Wilson-Edwards, Alice R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2007
Last updated Mar 11th, 2016 - about 8 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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