Individual
ROSE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 ALLEQUIPPA STREET, PITTSBURGH, PA 15240
(412) 822-2222
Mailing address
265 46TH ST APT 2104, PITTSBURGH, PA 15201-2858
(412) 638-0206
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP024882
PA
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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