Individual
MICHELLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
107 TOWN CENTER RD, KING OF PRUSSIA, PA 19406-2330
(484) 750-5212
(484) 750-5212
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
(484) 337-1632
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP027848
PA
Other
Enumeration date
08/21/2023
Last updated
07/25/2024
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