Individual
ALTRISHAWNA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1241 GENESEE PARK BLVD, ROCHESTER, NY 14619-1453
(585) 721-0496
Mailing address
1241 GENESEE PARK BLVD, ROCHESTER, NY 14619-1453
(585) 721-0496
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N11898
NY
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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