TRACEY WILSON

BALTIMORE, MD
NPI1487828885
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LC0200X Nurse Practitioner, Critical Care Medicine
(Licence: MD  R115362)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: MD  R115362)
Enumeration Date2008-04-16
Last Update Date2015-08-12
Business Address
-- TRACEY WILSON CRNP
29 S GREENE ST
BALTIMORE, MD 21201-1504
Phone number: 410-328-8141
Mailing Address
-- TRACEY WILSON CRNP
PO BOX 64442
BALTIMORE, MD 21264-4442
Phone number: 410-328-8141