Individual
EMMA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
9 HAMMOND ST, WORCESTER, MA 01610-1512
(508) 219-7189
(508) 419-7066
Mailing address
9 HAMMOND ST, WORCESTER, MA 01610-1512
(508) 219-7189
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2323151
MA
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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