Wilson, Christine Debra

Wilson, Christine Debra is an sole proprietor health care provider with primary practice located at 699 W Cocoa Beach Cswy Ste 601 , Cocoa Beach FL 32931-3562. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Wilson, Christine Debra can be contacted via phone (321) 868-5833.

Contact Information

Primary practice address
699 W Cocoa Beach Cswy Ste 601 Cocoa Beach FL 32931-3562
Phone: (321) 868-5833
Fax: (321) 868-5854
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9249801 Florida

Profile Details

NPI number 1437468097
LBN Legal business name Wilson, Christine Debra
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2010
Last updated Mar 16th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437468097 NPPES
Florida Other DX159X MEDICARE
Florida MEDICAID 014571800 MEDICARE

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