Individual
PATTY R. WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP-PMH, PHD
Contact information
Practice address
800 N CHARLES ST STE 4R, BALTIMORE, MD 21201-5318
(240) 304-3327
Mailing address
525 N WOLFE ST, BALTIMORE, MD 21205-2110
(410) 929-0104
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R122302
MD
Other
Enumeration date
11/19/2018
Last updated
01/11/2024
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