Individual
KARLENE ROSEMARIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
31 BEVERIDGE ST, TEANECK, NJ 07666-6057
(201) 686-3681
Mailing address
31 BEVERIDGE ST, TEANECK, NJ 07666-6057
(201) 686-3681
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ00821700
NJ
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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