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Individual
MS. SARINA SUE WILSON
Active
Individual
MS. SARINA SUE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
128270
MT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
128270
MT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NUR-APRN-LIC128270
MT
Other
Enumeration date
10/17/2013
Last updated
12/04/2023
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