Individual
ANGELA ANNETTE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MNA, CRNA
Contact information
Practice address
600 HOSPITAL DR, MONROE, NC 28112-6000
(980) 993-3100
Mailing address
377 SOUTHFORK DR, FLEETWOOD, NC 28626-9288
(336) 977-3340
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3895
NC
367500000X
Certified Registered Nurse Anesthetist
APN 3476
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1638
—
SC
Enumeration date
01/14/2008
Last updated
12/06/2023
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