Individual
ARIEL WILSON
Active
Individual
ARIEL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
789996
TX
367500000X
Certified Registered Nurse Anesthetist
NA1207
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN3210610
—
CA
Enumeration date
04/20/2007
Last updated
12/29/2011
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