Wilson, Nicole Joann

Wilson, Nicole Joann is an sole proprietor health care provider with primary practice located at 9680 Tamarack Rd Ste 100 , Woodbury MN 55125-2617. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Wilson, Nicole Joann can be contacted via phone (651) 738-9001.

Contact Information

Primary practice address
9680 Tamarack Rd Ste 100 Woodbury MN 55125-2617
Phone: (651) 738-9001
Fax: (651) 738-8915
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 62339 Minnesota

Profile Details

NPI number 1770903015
LBN Legal business name Wilson, Nicole Joann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2014
Last updated Jul 21st, 2022 - about 4 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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