Wilson, Gloria J

Wilson, Gloria J is an individual health care provider with primary practice located at 5964 Golf Club Ln , Fairfield Township OH 45011-8224. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wilson, Gloria J can be contacted via phone (513) 893-1100.

Contact Information

Primary practice address
5964 Golf Club Ln Fairfield Township OH 45011-8224
Phone: (513) 893-1100
Fax: (513) 893-1128
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA12816NP Ohio

Profile Details

NPI number 1437420452
LBN Legal business name Wilson, Gloria J
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2012
Last updated Nov 13th, 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 1437420452 NPPES
Ohio MEDICAID 0060292

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