Marie Daly Wilson in Chattanooga - Family

Marie Daly Wilson - NPI 1093715484

Marie Daly Wilson is a Family in Chattanooga, Tennessee. Marie Daly Wilson practices all healthcare services and medical treatments related to Family. The NPI Number for Marie Daly Wilson is 1093715484. The last update date is 2019-10-31.

Marie Daly Wilson's current location address is 1807 Andover Pl, Chattanooga, Tennessee. You can contact this provider via phone number 9729630211. The mailing address for Marie Daly Wilson is 1807 Andover Pl, Chattanooga, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Marie Daly Wilson
Address 1807 Andover Pl, Chattanooga, Tennessee
Phone Number 9729630211
Fax Number
Sole Proprietor N
Credentials FNP

NPI Number Detail

NPI Number 1093715484
Provider Enumeration Date 2005-07-28
Last Updated Date 2019-10-31

Provider Mailing Address Detail

Address 1807 Andover Pl
City Chattanooga
State Tennessee (TN)
Post Code 374212193
Phone Number 9729630211
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 663438
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
175647002 TX --
8N8460 TX BLUE CROSS BLUE SHIELD

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FAQs about Marie Daly Wilson

What is the unique 10-digit identifier code issued to Marie Daly Wilson by the Centers for Medicare & Medicaid Services?

The Marie Daly Wilson has been assigned the NPI (National Provider Identifier) 1093715484 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Marie Daly Wilson's facilities are situated?

The facilities of Marie Daly Wilson are physically located at the following address: 1807 Andover Pl, Chattanooga, TN, 374212193.

What is the Marie Daly Wilson's specialty and taxonomy code?

The Marie Daly Wilson's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1093715484 to Marie Daly Wilson?

The Centers for Medicare & Medicaid Services originally issued the 1093715484 to Marie Daly Wilson on 2005-07-28.

As of what date was the information regarding Marie Daly Wilson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Marie Daly Wilson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-10-31.

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