Individual
JANICE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
230 MAPLE ST, HOLYOKE, MA 01040-5144
(413) 420-2208
Mailing address
230 MAPLE ST, HOLYOKE, MA 01040-5144
(413) 420-2208
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
132022
MA
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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