Individual
MR. BRENT ANDREW WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
9401 SOUTHWEST FWY, HOUSTON, TX 77074-1407
(713) 970-3354
Mailing address
100 SHENANGO AVE, SHARON, PA 16146-1503
(814) 942-5000
(814) 942-9500
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP017994
PA
Other
Enumeration date
10/25/2017
Last updated
10/06/2021
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