Wilson, Yvonne Ursula

Wilson, Yvonne Ursula is an individual health care provider with primary practice located at 65 Colin Dr , Shirley NY 11967-1583. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Wilson, Yvonne Ursula can be contacted via phone (631) 495-2967.

Contact Information

Primary practice address
65 Colin Dr Shirley NY 11967-1583
Phone: (631) 495-2967
Fax: (631) 924-6904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 5172981 New York

Profile Details

NPI number 1447470562
LBN Legal business name Wilson, Yvonne Ursula
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2007
Last updated Jul 8th, 2007 - about 18 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 1447470562 NPPES
New York Other 02077714 MEDICAID PROVIDER ID DEPA

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