person
Ms. Mary Deborah Wilson, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Berlin, Maryland
NPI 1306051313

Mary Deborah Wilson is a Psychiatric/Mental Health Nurse Practitioner based in Berlin, MD and is specialized in Psychiatric/Mental Health. Mary Deborah Wilson practices in Berlin, MD and has the professional credentials of PMHNP-BC. The NPI Number for Mary Deborah Wilson is 1306051313 and holds a License No. R056757 (Maryland).

The current practice location address for Mary Deborah Wilson is 11022 Nicholas Ln, Berlin, MD and can be reached out via phone at 410-641-5190 and via fax at 410-641-5463.

Location: 11022 Nicholas Ln, Berlin, MD, 21811-3352
person
Provider Profile Details
NPI Number
1306051313
Provider Name
Mary Deborah Wilson
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
11022 Nicholas Ln, Berlin, MD, 21811-3352
Phone Number
410-641-5190
Fax Number
410-641-5463
Provider Enumeration Date
05/12/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
609550001 05 MD
517251 01 MD OPTUM
346646 01 MD MANAGED HEALTH NET/TRICARE
259147-000 01 MD MAGELLAN BEHAVIORAL HEALTH
609550004 05 MD
499188 01 MD BEACON HEALTH OPTIONS
609550002 05 MD
7840093 01 MD AETNA
R968 01 MD CAREFIRST OF MARYLAND
institution
Provider Business Practice Location Address Details
Address
11022 Nicholas Ln
City
State
Zip
21811-3353
Phone Number
410-641-5190
Fax Number
410-641-5463
person
Provider Business Mailing Address Details
Address
11022 Nicholas Ln
City
State
Zip
21811-3353
Phone Number
410-641-5190
Fax Number
410-641-5463
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
R056757 (Maryland)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
R056757 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R056757 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
R056757 (Maryland)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.