Individual
MR. BRIAN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0004
(301) 295-1095
Mailing address
13131 HUTCHINSON WAY, SILVER SPRING, MD 20906-5948
(619) 886-6342
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R224388
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R224388
REGISTERED NURSE STATE LICENSE
MD
Enumeration date
08/02/2017
Last updated
08/02/2017
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