Wilson, Shawna

Wilson, Shawna is an individual health care provider with primary practice located at 3801 University Lake Dr , Anchorage AK 99508-4639. 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, Shawna can be contacted via phone (907) 563-8876.

Contact Information

Primary practice address
3801 University Lake Dr Anchorage AK 99508-4639
Phone: (907) 563-8876
Fax: (907) 762-6315
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 575 Alaska

Profile Details

NPI number 1760453021
LBN Legal business name Wilson, Shawna
Credentials ANPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jul 8th, 2007 - about 17 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 1760453021 NPPES
Alaska MEDICAID NP8017

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