Individual
MOSIAH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8212 S MARCH POINT RD, ANACORTES, WA 98221-8684
(360) 588-2808
Mailing address
8212 S MARCH POINT RD, ANACORTES, WA 98221-8684
(360) 588-2800
(360) 588-2808
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN60838965
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61430796
WA
Other
Enumeration date
03/13/2020
Last updated
10/30/2024
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