Individual
MONIQUE S. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3 COOPER PLZ, SUITE 411, CAMDEN, NJ 08103-1438
(856) 968-3577
(856) 968-8457
Mailing address
1 FEDERAL STREET, SUITE SW200, CAMDEN, NJ 08103-1155
(856) 356-4935
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NN093565
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085952
—
NJ
Enumeration date
06/09/2006
Last updated
04/25/2016
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