Ava Michelle Wilson
Student in an Organized Health Care Education/Training Program in Philadelphia, PA. Individual provider (NPI-1).
NPI number1316640386
StatusActive
Last updated in NPPESApr 17, 2023
Details
- NPI
- 1316640386
- Entity type
- Individual (NPI-1)
- Name
- Ava Michelle Wilson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 27, 2023
- Certification date
- Apr 17, 2023
- Last updated
- Apr 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
3400 Spruce StPhiladelphia, PA 19104-4238
Phone 832-314-2838
Mailing address
3400 Spruce StPhiladelphia, PA 19104-4238
Phone 215-349-5200 · Fax 215-615-3997
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All 4,293 Student in an Organized Health Care Education/Training Program providers in Philadelphia · All 53,595 providers in Philadelphia
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