Wilson, Patricia Ann

Wilson, Patricia Ann is an individual health care provider with primary practice located at 603 7Th St S Ste 450 , St Petersburg FL 33701-4741. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Wilson, Patricia Ann can be contacted via phone (727) 369-5018.

Contact Information

Primary practice address
603 7Th St S Ste 450 St Petersburg FL 33701-4741
Fax: (727) 522-7412
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9102428 Florida

Profile Details

NPI number 1750318937
LBN Legal business name Wilson, Patricia Ann
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Dec 9th, 2021 - about 3 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 1750318937 NPPES
Florida MEDICAID 291615100

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