Individual
MRS. CHRISTINA MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
11104 PARKVIEW CIRCLE DR STE 320, FORT WAYNE, IN 46845-1733
(260) 266-5300
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71004276A
IN
363LF0000X
Family Nurse Practitioner
F0712523
IN
Other
Enumeration date
11/04/2012
Last updated
10/03/2022
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