Individual
MELISSA ANN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1812 NEWPORT GAP PIKE, WILMINGTON, DE 19808-6179
(302) 500-5891
(302) 500-5913
Mailing address
3 CARLETON CT, NEW CASTLE, DE 19720-3803
(302) 229-1952
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L2-0007376
DE
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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