Individual
GLORIA J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5964 GOLF CLUB LN, FAIRFIELD TOWNSHIP, OH 45011-8224
(513) 893-1100
(513) 893-1128
Mailing address
5964 GOLF CLUB LN, FAIRFIELD TOWNSHIP, OH 45011-8224
(513) 893-1100
(513) 893-1128
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA12816NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0060292
—
OH
Enumeration date
01/23/2012
Last updated
11/13/2020
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