Mavis Casiner Wilson, N.P.
Nurse Practitioner, Family in Tallahassee, FL. Individual provider (NPI-1).
NPI number1790730653
StatusActive
Last updated in NPPESFeb 6, 2013
Details
- NPI
- 1790730653
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mavis Casiner Wilson
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 22, 2006
- Last updated
- Feb 6, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | ARNP9222827 | FL | Yes |
Practice location
1720 S Gadsden StTallahassee, FL 32301-5506
Phone 904-248-4075 · Fax 904-223-3149
Mailing address
1720 S Gadsden StTallahassee, FL 32301-5506
Phone 850-576-4073 · Fax 850-521-5116
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