Individual
MS. VICKI LEE WILSON
Active
Individual
MS. VICKI LEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
151546
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
COA.01051-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2303395
—
OH
Enumeration date
10/24/2005
Last updated
09/16/2014
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