# CHRISTINE A WILZACK

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

## Provider details

- **NPI number:** 1356303796
- **Gender:** F
- **Credential:** PMH-CNS, FNP, PMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | R104565 | MD | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 5006513 | NC | Yes |
| 364SP0808X | Psychiatric/Mental Health Clinical Nurse Specialist | R104565 | MD | — |

## Other

- **Enumeration date:** 04/03/2006
- **Last updated:** 02/06/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1356303796 | — | MD |