HEATHER MARIE WILSON NPI 1083120547

NPI Information

  • NPI: 1083120547
  • Provider Name: HEATHER MARIE WILSON
  • Classification: Registered Nurse - 163WP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 1040 W BRISTOL RD
    FLINT, MI
    ZIP 48507
  • Phone: (810) 257-3706

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NPI Details

Heather Marie Wilson is a psychiatric/mental health registered nurse in Flint, MI. Heather Marie Wilson NPI is 1083120547. 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:

1040 W BRISTOL RD
FLINT, MI
ZIP 48507-516
Phone: (810) 257-3706

The enumeration date for this NPI number is 12/20/2017 and was last updated on 12/10/2024.

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
1163WP0809XRegistered NursePsychiatric/Mental Health, Adult4704267795MICHIGANNo
2163WP0808XRegistered NursePsychiatric/Mental Health4704267795MICHIGANYes

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

NPI Synchronization or Removal

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