Individual
CATHERINE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
481 KINGSTOWN RD, WAKEFIELD, RI 02879-3626
(401) 789-0283
(401) 789-0314
Mailing address
64 HIGGINS DR, KINGSTON, RI 02881-1506
(401) 789-0283
(401) 789-0314
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R193677
MD
363LF0000X
Family Nurse Practitioner
Primary
APRN04888
RI
363LF0000X
Family Nurse Practitioner
R193677
MD
Other
Enumeration date
05/22/2018
Last updated
12/01/2025
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