Individual
MRS. MARILYN WILSON WILSON-SHERWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1601 OWEN DRIVE, FAYETTEVILLE, NC 28304-3425
(910) 678-0100
(910) 678-0115
Mailing address
1601 OWEN DRIVE, FAYETTEVILLE, NC 28304-3425
(910) 678-0100
(910) 678-0115
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201443
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000954
—
NC
Enumeration date
08/15/2005
Last updated
08/10/2012
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