Wilson, Vicki Lee

Wilson, Vicki Lee is an individual health care provider with primary practice located at 716 Adair Ave , Zanesville OH 43701-2836. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Wilson, Vicki Lee can be contacted via phone (740) 891-9000.

Contact Information

Primary practice address
716 Adair Ave Zanesville OH 43701-2836
Phone: (740) 891-9000
Fax: (740) 891-9001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 151546 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X COA.01051-NP Ohio

Profile Details

NPI number 1154311066
LBN Legal business name Wilson, Vicki Lee
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Sep 16th, 2014 - about 12 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 1154311066 NPPES
Ohio MEDICAID 2303395

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