Individual
NANCY J. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1969 W HART RD, BELOIT MEMORIAL HOSPITAL (COUNSELING CARE CENTER), BELOIT, WI 53511-2230
(608) 364-5756
(608) 363-5756
Mailing address
1905 E HUEBBE PKWY, BELOIT HEALTH SYSTEM INC, BELOIT, WI 53511-1842
(608) 364-2200
(608) 363-7395
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
30822
WI
2084P0800X
Psychiatry Physician
Primary
30822-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31751900
—
WI
Enumeration date
10/04/2006
Last updated
05/05/2014
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