Individual
LAURIE A. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1090 CRANSTON ST, CRANSTON, RI 02920-7323
(401) 467-9610
Mailing address
311 DORIC AVE, CRANSTON, RI 02910-2903
(401) 467-9610
(401) 223-0121
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN00412
RI
363LA2200X
Adult Health Nurse Practitioner
CNP164706
MA
Other
Enumeration date
06/23/2006
Last updated
04/30/2023
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