Individual
MS. IRENE BAHMANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1300 MICCOSUKEE RD, BIXLER EMERGENCY CENTER, TALLAHASSEE, FL 32308-5054
(850) 431-0756
(850) 431-0779
Mailing address
1300 MICCOSUKEE RD, BIXLER EMERGENCY CENTER, TALLAHASSEE, FL 32308-5054
(850) 431-0756
(850) 431-0779
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ARNP1023752
FL
Other
Enumeration date
07/27/2006
Last updated
07/09/2007
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