Individual
CAROLE L. WILLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
503 SUNSET DR, OLYPHANT, PA 18447-1323
(570) 342-7864
Mailing address
225 PENN AVE, SCRANTON, PA 18503-1921
(570) 342-7864
(570) 207-7678
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP010401
PA
Other
Enumeration date
08/27/2009
Last updated
12/10/2014
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