Individual
ALICIA N WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
225 W MAIN ST UNIT B, HILLSBORO, OH 45133
(937) 393-2411
(937) 393-3711
Mailing address
225 W MAIN ST UNIT B, HILLSBORO, OH 45133
(937) 393-2411
(937) 393-3711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.18513-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0153633
—
OH
Enumeration date
12/11/2015
Last updated
08/14/2019
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