Individual
MS. LORETTA K WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202
Mailing address
PO BOX 602658, WAKE FOREST UNIVERSITY HEALTH SCIENCES, CHARLOTTE, NC 28260-2658
(336) 716-2255
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
900352
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1761X
BCBS
NC
01
—
1861450983
PARTNERS
NC
01
—
268270
MEDCOST
NC
01
—
3648339
UNITED HEALTHCARE
NC
01
—
4744420
AETNA
NC
01
—
P00654521
RAILROAD MEDICARE
NC
01
—
QNP211
SC MEDICAID
SC
Enumeration date
05/01/2006
Last updated
04/04/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us