Individual
DANIELLE DESTIN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, FNP-C
Contact information
Practice address
7501 GREENWAY CENTER DR # 910, GREENBELT, MD 20770-3514
(305) 878-7335
Mailing address
3430 ELM AVE, BALTIMORE, MD 21211-2417
(305) 878-7335
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AC004510
MD
Other
Enumeration date
07/06/2022
Last updated
07/28/2022
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