Christina Nicole Wilson, MD
Emergency Medicine in Portland, ME. Individual provider (NPI-1).
NPI number1427357185
StatusActive
Last updated in NPPESApr 25, 2017
Details
- NPI
- 1427357185
- Entity type
- Individual (NPI-1)
- Name
- Christina Nicole Wilson
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2011
- Last updated
- Apr 25, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | MD20953 | ME | Yes |
| 207P00000X | Emergency Medicine | 261571 | MA |
Practice location
22 Bramhall StPortland, ME 04102-3134
Phone 207-662-2381 · Fax 207-662-6226
Mailing address
190 Riverside StSuite 6b
Portland, ME 04103-1073
Phone 207-661-2000
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