Individual
CHRISTOPHER WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPH, MSN, AGACNP-BC
Contact information
Practice address
200 MEMORIAL AVE, WESTMINSTER, MD 21157-5726
(410) 848-3000
Mailing address
201 E PATRICK ST # 819, FREDERICK, MD 21701-5631
(917) 318-1079
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN002295
NV
363LA2100X
Acute Care Nurse Practitioner
Primary
RN227882
MD
Other
Enumeration date
07/28/2016
Last updated
12/30/2021
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