ERICK KENNETH WILSON NPI 1467031823

NPI Information

  • NPI: 1467031823
  • Provider Name: ERICK KENNETH WILSON
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 5455 ALMIRA DR NE
    BREMERTON, WA
    ZIP 98311
  • Phone: (360) 373-5031

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NPI Details

Erick Kenneth Wilson is a peer specialist in Bremerton, WA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Erick Kenneth Wilson NPI is 1467031823. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5455 ALMIRA DR NE
BREMERTON, WA
ZIP 98311-330
Phone: (360) 373-5031

The enumeration date for this NPI number is 4/5/2021 and was last updated on 10/14/2021.

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
1175T00000XPeer SpecialistYes

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: 3/30/2025

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