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Individual

DANIELLE LYNN WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1266 E MAIN ST STE 700R, STAMFORD, CT 06902-3507
(877) 723-2007
Mailing address
145 LAKE SPRING CIR, GEORGETOWN, TX 78633-2186
(512) 799-9284

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
AP7483
CT
363LF0000X
Family Nurse Practitioner
AP136628
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7483
CT

Other

Enumeration date
02/22/2018
Last updated
03/06/2025
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