Wilson, Michelle L

Wilson, Michelle L is an individual health care provider with primary practice located at 2414 Kohler Memorial Dr , Sheboygan WI 53081-3129. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wilson, Michelle L can be contacted via phone (920) 457-4461.

Contact Information

Primary practice address
2414 Kohler Memorial Dr Sheboygan WI 53081-3129
Phone: (920) 457-4461
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2342-033 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 124123-030 Wisconsin

Profile Details

NPI number 1881701753
LBN Legal business name Wilson, Michelle L
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Nov 6th, 2023 - about last year

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 1881701753 NPPES
Wisconsin MEDICAID 41179900

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