Individual
NANCY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
5 GRAY PARK, GRAY, ME 04039-0297
(207) 657-3079
Mailing address
PO BOX 297, GRAY, ME 04039-0297
(207) 657-3079
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R018223
ME
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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