Individual
EMILY BERNICE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., CPNP-PC
Contact information
Practice address
44-46 FOSTER RD, BLDG B, HOPEWELL JUNCTION, NY 12533-6178
(845) 452-1700
Mailing address
301 MANCHESTER RD STE 105, POUGHKEEPSIE, NY 12603-2895
(845) 452-1700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22717811
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
382817
NY
Other
Enumeration date
08/20/2016
Last updated
08/13/2024
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