Individual
MRS. ROSE CAROLYN WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.C.N.P.
Contact information
Practice address
14411 SMUGGLERS NOTCH, SUITE A, FORT WAYNE, IN 46814-8701
(260) 515-3275
(888) 803-6843
Mailing address
1197 US HIGHWAY 6, EDGERTON, OH 43517-9701
(604) 457-0802
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71004246A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
71004246A
IN
Other
Enumeration date
12/06/2012
Last updated
08/29/2024
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