| NPI | 1407333826 |
|---|---|
| Former Name | MADELEINE MARY WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 00245176405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001260582) |
| 363L00000X Nurse Practitioner (Licence: DC 1049832) | |
| 363L00000X Nurse Practitioner (Licence: VA 0024176405) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD ACOO6501) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176405) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DC 1049832) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC002581) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC 1049832) | |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2024-06-04 |