Wilson, Nicole Marie
Wilson, Nicole Marie is an individual health care provider with primary practice located at 1044 Belmont Ave , Youngstown OH 44504-1006. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Wilson, Nicole Marie can be contacted via phone (330) 747-6881.Contact Information
Primary practice address
1044 Belmont Ave
Youngstown OH 44504-1006
Phone: (330) 747-6881
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | APRN.CNP.16417 | Ohio |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | APRN.CNP.16417 | Ohio |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | APRN.CNP.16417 | Ohio |
Profile Details
NPI number | 1922401223 |
---|---|
LBN Legal business name | Wilson, Nicole Marie |
Credentials | AGACNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 30th, 2014 |
Last updated | Oct 28th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922401223 | NPPES |
Ohio | MEDICAID | 0113609 |
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