Individual
DANIELLE WILKISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
225 MAIN ST, PRESTON, MD 21655-2215
(410) 754-0750
(833) 914-0410
Mailing address
225 MAIN ST, PRESTON, MD 21655-2215
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AC003582
MD
Other
Enumeration date
02/23/2021
Last updated
04/12/2021
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