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Individual
TAHIRA WILSON
Active
Individual
TAHIRA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN675987
PA
251B00000X
Case Management Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
251T00000X
PACE Provider Organization
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP036001
PA
372500000X
Chore Provider
—
NULL
372600000X
Adult Companion
—
NULL
3747A0650X
Attendant Care Provider
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
376J00000X
Homemaker
—
NULL
385H00000X
Respite Care
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038259300001
—
PA
Enumeration date
10/25/2020
Last updated
07/10/2026
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