MELANIE MARIE WILSON NPI 1063033025

NPI Information

NPI: 1063033025
Provider Name: MELANIE MARIE WILSON
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
1802 6TH AVE S
BIRMINGHAM, AL
ZIP 35233
Phone: (205) 934-3411
Get Directions

Melanie Marie Wilson is a gerontology nurse practitioner in Birmingham, AL with 3 years of experience. Melanie Marie Wilson NPI is 1063033025. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1802 6TH AVE S
BIRMINGHAM, AL
ZIP 35233-932
Phone: (205) 934-3411

The NPI 1063033025 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/30/2020 and was last updated on 10/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		1162338	ALABAMA	No
2	363LG0600X	Nurse Practitioner	Gerontology	1-162338	ALABAMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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