Individual
MS. MARY S WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
92-8691 LOTUS BLOSSOM LANE 6&7, 92-8691 LOTUS BLOSSOM LANE 6&7, OCEAN VIEW, HI 96737-9673
(808) 939-8100
(808) 829-3672
Mailing address
PO BOX 6065, OCEAN VIEW, HI 96737-6065
(808) 939-8100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN-1997
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10106478
—
VA
05
—
1073531687
—
VA
Enumeration date
07/18/2006
Last updated
02/21/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us