Susan Wilson, PA-C
NPI #1396709804 in Mount Vernon, Washington
Provider Information
- NPI Number
- 1396709804
- Entity Type
- Individual
- Name
- Susan Wilson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Credential
- PA-C
- Enumeration Date
- Apr 12, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1400 E KINCAID ST
- City
- Mount Vernon
- State
- Washington
- ZIP Code
- 98274-4127
- Phone
- (360) 428-2500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
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