Individual
MRS. KARLIE E WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC, APNP
Contact information
Practice address
2424 S 90TH ST FL 3, WEST ALLIS, WI 53227-2455
(414) 649-1280
(414) 649-1288
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 649-1280
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10093
WI
363LF0000X
Family Nurse Practitioner
10093-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100141078
—
WI
Enumeration date
09/11/2020
Last updated
10/17/2023
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