Individual
CARRIE LYNN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
360 BAY ST, MORGANTOWN, WV 26508-1812
(540) 809-8522
Mailing address
360 BAY ST, MORGANTOWN, WV 26508-1812
(540) 809-8522
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
PENDING
WV
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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