Wilson, Sandra Elizabeth

Wilson, Sandra Elizabeth is an individual health care provider with primary practice located at 350 Redstone Ave W , Crestview FL 32536-6433. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wilson, Sandra Elizabeth can be contacted via phone (850) 689-1740.

Contact Information

Primary practice address
350 Redstone Ave W Crestview FL 32536-6433
Phone: (850) 689-1740
Fax: (850) 682-6652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1467682435
LBN Legal business name Wilson, Sandra Elizabeth
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2009
Last updated Jul 23rd, 2009 - about 17 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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