Individual
SHAMEKA DAYSHAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
5350 TOMAH DR STE 3600, COLORADO SPRINGS, CO 80918-6991
(970) 806-4972
(888) 965-4615
Mailing address
5350 TOMAH DR STE 3600, COLORADO SPRINGS, CO 80918-6991
(970) 806-4972
(888) 965-4615
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2020131915
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
C-APN.0102397-C-NP
CO
Other
Enumeration date
05/25/2022
Last updated
07/15/2024
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