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Individual

MRS. MELISA ANDREA WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2501 N ORANGE AVE STE 402, ORLANDO, FL 32804-4674
(407) 303-3638
(407) 303-2882
Mailing address
2501 N ORANGE AVE STE 402, ORLANDO, FL 32804-4674
(407) 303-3638
(407) 303-2882

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN9212516
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003841500
FL
Enumeration date
07/10/2006
Last updated
08/19/2020
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