person
Mr. Basil Alexander Wilson, ARNP
Family Nurse Practitioner in Lakeland, Florida
NPI 1447259569

Basil Alexander Wilson is a Family Nurse Practitioner based in Lakeland, FL and is specialized in Family. Basil Alexander Wilson practices in Lakeland, FL and has the professional credentials of ARNP. The NPI Number for Basil Alexander Wilson is 1447259569 and holds a License No. ARNP 2068702 (Florida).

The current practice location address for Basil Alexander Wilson is 1801 Crystal Lake Dr, Lakeland, FL and can be reached out via phone at 863-937-8886 and via fax at 863-937-8892. You can also correspond with Basil Alexander Wilson through the mailing address at 4863 FOXRUN CIR, LAKELAND, FL - 33813-2229 (mailing address contact number: 954-260-7525).

Location: 1801 Crystal Lake Dr, Lakeland, FL, 33813-2229
person
Provider Profile Details
NPI Number
1447259569
Provider Name
Basil Alexander Wilson
Credential
ARNP
Provider Entity Type
Individual
Gender
Male
Address
1801 Crystal Lake Dr, Lakeland, FL, 33813-2229
Phone Number
863-937-8886
Fax Number
863-937-8892
Provider Enumeration Date
07/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
303424100 05 FL
034712822 01 FL ANCC NATIONAL CERT.
ARNP 2068702 01 FL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1801 Crystal Lake Dr
City
State
Zip
33801-5979
Phone Number
863-937-8886
Fax Number
863-937-8892
person
Provider Business Mailing Address Details
Address
1801 Crystal Lake Dr
City
State
Zip
33801-5979
Phone Number
863-937-8886
Fax Number
863-937-8892
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
ARNP 2068702 (Florida)
Definition
Definition to come...
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