Individual
GWEN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN-NP
Contact information
Practice address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
(609) 303-4000
Mailing address
400 OAK ST, PENNINGTON, NJ 08534-3316
(609) 273-1109
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NO09591900
NJ
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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