Individual
STEVE M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
2435 W BELVEDERE AVE, SUITE 42, BALTIMORE, MD 21215-5224
(410) 601-5848
(410) 601-5576
Mailing address
2401 W BELVEDERE AVE, ATTN: CREDENTIALING, BALTIMORE, MD 21215-5216
(410) 601-5523
(410) 601-8946
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R080590
MD
Other
Enumeration date
05/12/2008
Last updated
05/12/2008
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