| NPI | 1700603636 |
|---|---|
| Doing Business As | MWILSONCRNP, LLC |
| Entity Type | Organization |
| Authorized Contact | MELINDA WILSON CEO 205-789-1804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-23 |