Individual
MR. MATTHEW H. WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMH-NP
Contact information
Practice address
12 BOLDUC AVE, FORT KENT, ME 04743-1602
(207) 834-3971
(207) 834-3837
Mailing address
12 BOLDUC AVE, FORT KENT, ME 04743-1602
(207) 834-3971
(207) 834-3837
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R050669
ME
Other
Enumeration date
02/15/2007
Last updated
01/19/2022
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