Michelle M Wilson
Registered Nurse, Medical-Surgical in Nespelem, WA. Individual provider (NPI-1).
NPI number1831752005
StatusActive
Last updated in NPPESApr 15, 2019
Details
- NPI
- 1831752005
- Entity type
- Individual (NPI-1)
- Name
- Michelle M Wilson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2019
- Last updated
- Apr 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WM0705X | Registered Nurse, Medical-Surgical | RN156196 | LA | Yes |
Practice location
19 Lakes StNespelem, WA 99155
Phone 800-416-7459
Mailing address
30 Sherling AveJefferson, LA 70121-2200
Phone 504-312-2534
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