Susan B Wilson in Cedartown - Nurse Practitioner

Susan B Wilson - NPI 1205844842

Susan B Wilson is a Nurse Practitioner in Cedartown, Georgia. Susan B Wilson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Susan B Wilson is 1205844842. The last update date is 2007-07-09.

Susan B Wilson's current location address is 134 E Fairmount Ave, Cedartown, Georgia. You can contact this provider via phone number 7707485212 and fax number 7707482944. The mailing address for Susan B Wilson is 134 E Fairmount Ave, Cedartown, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan B Wilson
Address 134 E Fairmount Ave, Cedartown, Georgia
Phone Number 7707485212
Fax Number 7707482944
Sole Proprietor N
Credentials N.P.

NPI Number Detail

NPI Number 1205844842
Provider Enumeration Date 2006-08-03
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 134 E Fairmount Ave
City Cedartown
State Georgia (GA)
Post Code 301252706
Phone Number 7707485212
Fax Number 7707482944

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 45387
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

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FAQs about Susan B Wilson

What is the unique 10-digit identifier code assigned to Susan B Wilson by the Centers for Medicare & Medicaid Services?

The Susan B Wilson has been issued the NPI (National Provider Identifier) 1205844842 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Susan B Wilson?

The Susan B Wilson is situated at 134 E Fairmount Ave, in the city of Cedartown, state of GA, with the zip code 301252706.

What is Susan B Wilson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Susan B Wilson is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.

On what date did the Susan B Wilson receive its 1205844842 assignment from the Centers for Medicare & Medicaid Services?

The Susan B Wilson was assigned its 1205844842 by the Centers for Medicare & Medicaid Services on 2006-08-03.

When was the information pertaining to Susan B Wilson most recently updated or revised?

The details related to Susan B Wilson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.

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