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NPI Lookup from the NPI Registry — National Provider Identifier Database

LAURA R WILSON, MSN, APRN-BC – NPI #1104032218
Family


Contact Information

LAURA R WILSON, MSN, APRN-BC
134 STATE STREET
COMMUNITY HEALTH CENTER OF MERIDEN
HAMDEN, CT06450
 Phone: 979-393-8993
 Fax:
 Website:
 

Taxonomy / Specialty

Taxonomy Code

Family

363LF0000X
Indicates primary specialty
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NPI Information for LAURA R WILSON · (Female)

NPI Number 1104032218
Credentials MSN, APRN-BC
Entity Individual
Enumeration date 05/15/2007
Last updated 07/29/2010 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
CT License # 004365
TX License # 701633
TX Medicaid 154467803
TX Medicare OSCAR/Certification 671848
TX Other 1821185299 NPI - BVCAA
TX Other 1275620551 NPI - ROBERTSON COUNTY CHC
TX Other 1649265646 NPI- BRYAN- COLLEGE STATION CHC
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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