Individual
DEVAPRABHA BABY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1336 SW 151ST WAY, SUNRISE, FL 33326-1933
(954) 667-4810
Mailing address
1336 SW 151ST WAY, SUNRISE, FL 33326-1933
(954) 667-4810
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11031749
FL
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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