Individual
ALECIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
599 W STATE ST STE 302, DOYLESTOWN, PA 18901-2567
(152) 306-9822
(215) 230-3983
Mailing address
PO BOX 829641, PHILADELPHIA, PA 19182-9641
(267) 370-5285
(215) 230-3725
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN607015
PA
363LF0000X
Family Nurse Practitioner
Primary
SP018525
PA
Other
Enumeration date
08/29/2017
Last updated
03/06/2024
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