Individual
MS. ALICE M WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
3436 PRIMROSE WAY, PALM HARBOR, FL 34683-2229
(727) 641-7847
(727) 786-4724
Mailing address
3436 PRIMROSE WAY, PALM HARBOR, FL 34683-2229
(727) 641-7847
(727) 786-4724
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN3391562
FL
163WR0006X
Registered Nurse First Assistant
Primary
RN3391562
FL
Other
Enumeration date
05/18/2009
Last updated
05/12/2014
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