Individual
TANYA E WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2600 GLASGOW AVENUE, SUITE 100, NEWARK, DE 19702-4773
(302) 836-8350
Mailing address
200 HYGEIA DRIVE, SUITE 2300, NEWARK, DE 19713-2049
(302) 438-7745
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG-0000818
DE
Other
Enumeration date
02/02/2015
Last updated
01/11/2016
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