Individual
JULIET MARY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP, RN
Contact information
Practice address
505 E 70TH ST FL 4, NEW YORK, NY 10021-4872
(212) 746-2942
Mailing address
505 E 70TH ST FL 4, NEW YORK, NY 10021-4872
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307655
NY
Other
Enumeration date
04/04/2016
Last updated
06/28/2023
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