Individual
MRS. PRISCILLA MARIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10005 E OSBORN RD, SCOTTSDALE, AZ 85256-4019
(480) 362-7400
(480) 362-5950
Mailing address
3030 N CENTRAL AVE STE 1001, PHOENIX, AZ 85012-2716
(602) 406-4786
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10609
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AP10609
—
AZ
Enumeration date
09/20/2017
Last updated
09/17/2020
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