Individual
KATHRYN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
618 SUNBURST HWY, CAMBRIDGE, MD 21613-2546
(667) 372-0228
(410) 822-9513
Mailing address
8579 COMMERCE DR STE 104, EASTON, MD 21601-7420
(410) 822-9133
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R211652
MD
Other
Enumeration date
07/13/2021
Last updated
11/06/2024
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