Individual
CAPRECE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
41704 W SMITH ENKE RD, MARICOPA, AZ 85138-2709
(623) 300-3526
Mailing address
14990 W HERITAGE OAK WAY, SURPRISE, AZ 85374-3410
(224) 469-0505
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
252305
AZ
Other
Enumeration date
03/08/2025
Last updated
07/18/2025
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