Individual
VICTORIA LYNN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST, 1 WEST GATES, PHILADELPHIA, PA 19104-4206
(215) 662-2730
(215) 349-5224
Mailing address
3400 SPRUCE ST, 1 WEST GATES, PHILADELPHIA, PA 19104-4206
(215) 662-2730
(215) 349-5224
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
SP011865
PA
Other
Enumeration date
12/06/2011
Last updated
02/21/2012
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