MRS. ELAINE SUSAN WILSON ARNP/CNM NPI 1992766372

NPI Information

NPI: 1992766372
Provider Name: MRS. ELAINE SUSAN WILSON, ARNP/CNM
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

Address:
307 BOATNER RD
FAMILY HEALTH CLINIC/96TH MDG, SUITE 114
EGLIN AFB, FL
ZIP 32542
Phone: (850) 883-8763
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MRS. Elaine Susan Wilson, ARNP/CNM is an obstetrics and gynecology nurse practitioner in Eglin Afb, FL. MRS. Elaine Susan Wilson, ARNP/CNM NPI is 1992766372. 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:

307 BOATNER RD
FAMILY HEALTH CLINIC/96TH MDG, SUITE 114
EGLIN AFB, FL
ZIP 32542-391
Phone: (850) 883-8763

The enumeration date for this NPI number is 3/28/2006 and was last updated on 7/8/2007.

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	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	ARNP9201126	FLORIDA	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: 11/14/2023

NPI Synchronization or Removal

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