Individual
MRS. THERESA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
700 19TH ST S, BIRMINGHAM, AL 35233-1927
(205) 933-8000
Mailing address
207 OXMOOR PL, BIRMINGHAM, AL 35211-6444
(757) 831-8418
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001204853
VA
163W00000X
Registered Nurse
Primary
1-149681
AL
163W00000X
Registered Nurse
RN 9267526
FL
Other
Enumeration date
01/31/2016
Last updated
01/31/2016
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