Individual
MS. CHRISTINA GRACE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
240 E 38TH ST FL 19, NEW YORK, NY 10016-2708
(646) 501-4834
Mailing address
124 LUDLOW ST APT 1D, NEW YORK, NY 10002-3253
(914) 844-5229
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308575
NY
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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