Individual
MRS. MARIE KAMPER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
909 WALNUT ST, C.O.B. ROOM 300, PHILADELPHIA, PA 19107-5211
(215) 955-7000
Mailing address
1806 APPALOOSA RD, WARRINGTON, PA 18976-2708
(215) 343-7998
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP013374
PA
Other
Enumeration date
11/30/2013
Last updated
11/30/2013
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