Individual
BRIANA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
40 SCRIBNER AVE, STATEN ISLAND, NY 10301-2329
(347) 930-0276
Mailing address
40 SCRIBNER AVE, STATEN ISLAND, NY 10301-2329
(347) 930-0276
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
666617
NY
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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