Individual
MISS ALYSSA MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
435 HURFFVILLE CROSS KEYS RD, TURNERSVILLE, NJ 08012-2453
(856) 582-2500
Mailing address
15000 MIDLANTIC DR STE 102, MOUNT LAUREL, NJ 08054-1573
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
135966
PA
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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