Individual
BRAD A WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
551 BREVARD RD, ASHEVILLE, NC 28806-2316
(828) 212-7021
(828) 232-8218
Mailing address
31 ALLIGATOR DR, FLETCHER, NC 28732-4502
(828) 231-4168
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201912
NC
363LF0000X
Family Nurse Practitioner
201912
NC
363LP0200X
Pediatric Nurse Practitioner
201912
NC
Other
Enumeration date
01/20/2006
Last updated
04/09/2024
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