Individual
CARRIE H WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2625 BUCKINGHAM RD, DODGEVILLE, WI 53533-9126
(608) 574-5763
Mailing address
2625 BUCKINGHAM RD, DODGEVILLE, WI 53533-9126
(608) 574-5763
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
128876030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38210300
—
WI
Enumeration date
10/20/2006
Last updated
11/12/2008
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