# SANDRA BOATENG-WILSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1255585295
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 592824 | NY | — |
| 363LF0000X | Family Nurse Practitioner | 338663 | NY | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | F404138 | NY | Yes |

## Other

- **Enumeration date:** 11/04/2008
- **Last updated:** 04/18/2024