Individual
ROBIN A WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1000 OCHSNER BLVD, COVINGTON, LA 70433
(985) 875-2745
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06259
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05005325
—
MS
05
—
2134582
—
LA
Enumeration date
09/30/2010
Last updated
12/04/2012
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