Individual
ISHA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
235 WELLESLEY ST, WESTON, MA 02493-1572
(919) 987-4403
Mailing address
235 WELLESLEY ST, WESTON, MA 02493-1572
(919) 987-4403
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
317079
NC
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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