Individual
MS. JULIE A WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1230 MAINE ST, POLAND, ME 04274-7325
(207) 998-4483
(207) 998-2189
Mailing address
PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8950
(207) 777-8800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP091026
ME
363LF0000X
Family Nurse Practitioner
Primary
CNP91026
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43579099
—
ME
Enumeration date
07/20/2009
Last updated
11/05/2018
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