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:
Health care specialties
Specialty | Code | License # | 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 5 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356303796 | NPPES |
Maryland | MEDICAID | 1356303796 |
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