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
Fax:
Website:

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922401223 NPPES
Ohio MEDICAID 0113609

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