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Individual

MS. MEGAN K. WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1600 ROCKLAND ROAD, WILMINGTON, DE 19803-3607
(302) 651-4200
(302) 651-5365
Mailing address
P.O. BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-4000
(302) 651-4945

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
L60A00622
DE
367H00000X
Anesthesiologist Assistant
L100378339
DE
367H00000X
Anesthesiologist Assistant
L60A00622,L100378339
DE

Other

Enumeration date
06/16/2011
Last updated
08/07/2015
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