Wilzack, Christine A

Wilzack, Christine A is an individual health care provider with primary practice located at 190 Rosewood Centre Dr , Holly Springs NC 27540-7628. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Wilzack, Christine A can be contacted via phone (919) 851-1527.

Contact Information

Primary practice address
190 Rosewood Centre Dr Holly Springs NC 27540-7628
Phone: (919) 851-1527
Fax: (919) 851-3555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R104565 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X R104565 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5006513 North Carolina

Profile Details

NPI number 1356303796
LBN Legal business name Wilzack, Christine A
Credentials PMH-CNS, FNP, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Jun 24th, 2024 - about last year

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 1356303796 NPPES
Maryland MEDICAID 1356303796

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