# TAHIRA WILSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1629677182
- **Gender:** F
- **Credential:** MSN, RN, PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | SP036001 | PA | Yes |
| 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

- **Enumeration date:** 10/25/2020
- **Last updated:** 07/10/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1038259300001 | — | PA |