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Individual

MS. TIFFANY MARIE WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1800 N MCCORD RD # P-172, TOLEDO, OH 43615-8702
(419) 514-9452
Mailing address
1800 N MCCORD RD # P-172, TOLEDO, OH 43615-8702
(419) 514-9452

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
529690
OH
163WF0300X
Flight Registered Nurse
529690
OH
163WG0000X
General Practice Registered Nurse
529690
OH
163WH0200X
Home Health Registered Nurse
Primary
529690
OH
163WI0500X
Infusion Therapy Registered Nurse
529690
OH
163WM0102X
Maternal Newborn Registered Nurse
529690
OH
163WP0200X
Pediatric Registered Nurse
529690
OH

Other

Enumeration date
09/16/2013
Last updated
05/24/2024
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