Individual
LEAH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
388 COMMONWEALTH AVE, BOSTON, MA 02215-2800
(617) 585-7462
Mailing address
388 COMMONWEALTH AVE, BOSTON, MA 02215-2800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2313235
MA
363LF0000X
Family Nurse Practitioner
Primary
2313235
MA
Other
Enumeration date
03/27/2017
Last updated
05/16/2019
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