Individual
MRS. CHARLENE ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
(520) 533-5161
Mailing address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
(520) 533-5017
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
275949
AZ
Other
Enumeration date
02/18/2025
Last updated
07/16/2025
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