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Carol S Wilson, NP
Pediatric Nurse Practitioner in Boston, Massachusetts
NPI 1750359774

Carol S Wilson is a Pediatric Nurse Practitioner based in Boston, MA and is specialized in Pediatrics. Carol S Wilson practices in Boston, MA and has the professional credentials of NP. The NPI Number for Carol S Wilson is 1750359774 and holds a License No. 167232 (Massachusetts).

The current practice location address for Carol S Wilson is 133 Brookline Ave, Boston, MA and can be reached out via phone at 617-421-1000 and via fax at 617-421-6084.

Location: 133 Brookline Ave, Boston, MA, 02109-4806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750359774
Provider Name
Carol S Wilson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
133 Brookline Ave, Boston, MA, 02109-4806
Phone Number
617-421-1000
Fax Number
617-421-6084
Provider Enumeration Date
03/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP9989 01 MA BLUE CROSS
0373231 05 MA
PN592 01 MA HARVARD PILGRIM
institution
Provider Business Practice Location Address Details
Address
133 Brookline Ave
City
Boston
State
Massachusetts
Zip
02215-3904
Phone Number
617-421-1000
Fax Number
617-421-6084
person
Provider Business Mailing Address Details
Address
133 Brookline Ave
City
Boston
State
Massachusetts
Zip
02215-3904
Phone Number
617-421-1000
Fax Number
617-421-6084
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
167232 (Massachusetts)
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
Pediatrics
Taxonomy
363LP0200X
License No.
167232 (Massachusetts)
Definition
Definition to come...
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