Wilson, Marie Daly

Wilson, Marie Daly is an individual health care provider with primary practice located at 7550 Goodwin Rd , Chattanooga TN 37421. 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, Marie Daly can be contacted via phone (423) 894-3252.

Contact Information

Primary practice address
7550 Goodwin Rd Chattanooga TN 37421
Phone: (423) 894-3252
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 663438 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 23909 Tennessee

Profile Details

NPI number 1093715484
LBN Legal business name Wilson, Marie Daly
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Oct 31st, 2019 - about 7 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 1093715484 NPPES
Texas MEDICAID 175647002
Texas Other 8N8460

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