Individual
MRS. MAUREEN TERESA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 E. LANCASTER AVENUE, WYNNEWOOD, PA 19096
(610) 645-3078
Mailing address
100 E LANCASTER AVENUE, WYNNEWOOD, PA 19096
(610) 645-3078
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP007443
PA
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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