Individual
MRS. DEBORAH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
5690 PARKWAY DR, GLOUCESTER, VA 23061-3782
(804) 642-9515
(804) 683-3691
Mailing address
PO BOX 684, GLOUCESTER, VA 23061-0684
(804) 642-9515
(804) 683-3691
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024093161
VA
Other
Enumeration date
09/11/2010
Last updated
11/21/2013
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