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Individual

GIA NICOLE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
169 CASSANDRA DR, NILES, OH 44446-2034
(330) 883-1041
Mailing address
169 CASSANDRA DR, NILES, OH 44446-2034
(330) 883-1041

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.390028
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0038385
OH

Other

Enumeration date
01/03/2025
Last updated
01/03/2025
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