Individual
CHRISTINA MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1945 CEI DR, BLUE ASH, OH 45242-5664
(513) 984-5133
(513) 984-4240
Mailing address
1945 CEI DR, BLUE ASH, OH 45242-5664
(513) 984-5133
(513) 984-4240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17054
OH
363LF0000X
Family Nurse Practitioner
RN.372673
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121750
—
OH
Enumeration date
01/16/2015
Last updated
07/21/2022
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