person
Ms. Loretta K Wilson, ANP
Adult Health Nurse Practitioner in Winston Salem, North Carolina
NPI 1861450983

Loretta K Wilson is an Adult Health Nurse Practitioner based in Charlotte, NC and is specialized in Adult Health. Loretta K Wilson practices in Winston Salem, NC and has the professional credentials of ANP. The NPI Number for Loretta K Wilson is 1861450983 and holds a License No. 900352 (North Carolina).

The current practice location address for Loretta K Wilson is Medical Center Blvd, Winston Salem, NC and can be reached out via phone at 336-716-2255 and via fax at 336-716-3202.

Location: Medical Center Blvd, Winston Salem, NC, 28260-2658
person
Provider Profile Details
NPI Number
1861450983
Provider Name
Loretta K Wilson
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
Medical Center Blvd, Winston Salem, NC, 28260-2658
Phone Number
336-716-2255
Fax Number
336-716-3202
Provider Enumeration Date
05/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1861450983 01 NC PARTNERS
QNP211 01 SC SC MEDICAID
1861450983 01 NC VIRGINIA MEDICAID
3648339 01 NC UNITED HEALTHCARE
P00654521 01 NC RAILROAD MEDICARE
1761X 01 NC BCBS
1861450983 01 NC TRICARE
268270 01 NC MEDCOST
4744420 01 NC AETNA
institution
Provider Business Practice Location Address Details
Address
Medical Center Blvd
City
State
Zip
27157-0001
Phone Number
336-716-2255
Fax Number
336-716-3202
person
Provider Business Mailing Address Details
Address
Medical Center Blvd
City
State
Zip
27157-0001
Phone Number
336-716-2255
Fax Number
336-716-3202
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
900352 (North Carolina)
Definition
Definition to come...
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