Individual
MARGARET ELLEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3001 CO RD 31, CHERRY VALLEY, NY 13320
(607) 264-3337
Mailing address
3001 CO RD 31, CHERRY VALLEY, NY 13320
(607) 264-3337
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024166474
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010212413
—
VA
Enumeration date
04/04/2006
Last updated
07/08/2007
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