Individual
MISS KAREN ANN-MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
265 SAW MILL RIVER RD, HAWTHORNE, NY 10532-1509
(914) 495-4500
(914) 328-3166
Mailing address
265 SAW MILL RIVER RD, HAWTHORNE, NY 10532-1509
(914) 336-7103
(914) 328-3166
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
597177-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404223
NY
Other
Enumeration date
12/30/2011
Last updated
03/29/2023
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