Individual
NICOLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
950 W WOOSTER ST, BOWLING GREEN, OH 43402-2603
(419) 354-8900
Mailing address
2848 MORIN POINT ST, ERIE, MI 48133-9616
(734) 652-7165
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0034508
MI
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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