Individual
MRS. ALISON MARIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., B.S.N.
Contact information
Practice address
6020 JOHN PAUL JONES CIRCLE, PORTSMOUTH, VA 23708
(757) 953-3521
Mailing address
4128 FABER RD, PORTSMOUTH, VA 23703-4807
(757) 484-4278
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
0001163762
VA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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