MS. E JOAN WILSON CLS NPI 1043479330

NPI Information

  • NPI: 1043479330
  • Provider Name: MS. E JOAN WILSON, CLS
  • Classification: Specialist/Technologist, Other - 246ZI1000X
  • Specialization: Illustration, Medical
  • Entity Type: Individual
  • Address: 12000 STONE LAKE ROAD
    DULCE, NM
    ZIP 87528
  • Phone: (505) 759-7238

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NPI Details

MS. E Joan Wilson, CLS is an illustration and medical specialist technologist other in Dulce, NM. MS. E Joan Wilson, CLS NPI is 1043479330. 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:

12000 STONE LAKE ROAD
DULCE, NM
ZIP 87528
Phone: (505) 759-7238

The enumeration date for this NPI number is 6/3/2008 and was last updated on 6/4/2008.

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
1246ZI1000XSpecialist/Technologist, OtherIllustration, Medical9905528KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000K3526MEDICAIDNEW MEXICO
2320057MEDICARE OSCAR/CERTIFICATIONNEW MEXICO
3HSZ196OTHERNEW MEXICOMEDICARE PART B

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: 11/21/2025

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