Individual
MRS. DANIELLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
20 MEDICAL VILLAGE DRIVE, EDGEWOOD, KY 41017-5403
(859) 578-5651
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 429-5188
(859) 301-5940
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3012221
KY
363LF0000X
Family Nurse Practitioner
APRN.CNP.023382
OH
Other
Enumeration date
08/06/2018
Last updated
08/01/2025
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