GLORIA KATHERINE WILSON

CHARLESTON, SC
NPI1184034027
Professional NameGLORIA KATHERINE WILSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: SC  18678)
Additional Taxonomies363LC1500X Nurse Practitioner, Community Health
(Licence: SC  18678)
363LG0600X Nurse Practitioner, Gerontology
(Licence: MD  R162569)
Enumeration Date2014-04-30
Last Update Date2022-07-21
Business Address
-- GLORIA KATHERINE WILSON APRN
171 ASHLEY AVE
CHARLESTON, SC 29425-5832
Phone number: 843-792-1414
Mailing Address
-- GLORIA KATHERINE WILSON APRN
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200