Wilson-Sherwin, Marilyn Wilson

Wilson-Sherwin, Marilyn Wilson is an individual health care provider with primary practice located at 1601 Owen Drive , Fayetteville NC 28304-3425. 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-Sherwin, Marilyn Wilson can be contacted via phone (910) 678-0100.

Contact Information

Primary practice address
1601 Owen Drive Fayetteville NC 28304-3425
Fax: (910) 678-0115
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201443 North Carolina

Profile Details

NPI number 1760484166
LBN Legal business name Wilson-Sherwin, Marilyn Wilson
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Aug 10th, 2012 - about 12 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 1760484166 NPPES
North Carolina MEDICAID 7000954

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