Individual
CHRISTAL G WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1331 N FAIRFIELD RD, BEAVERCREEK, OH 45432-2643
(866) 389-2727
Mailing address
1331 N FAIRFIELD RD, BEAVERCREEK, OH 45432-2643
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.11384
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3038402
—
OH
Enumeration date
03/19/2010
Last updated
02/19/2024
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