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Contact Information

BASIL A WILSON, ARNP
1801 CRYSTAL LAKE DR
LAKELAND, FL33801-5979
 Phone: 863-937-8886
 Fax: 863-937-8892
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BASIL A WILSON · (Male)

NPI Number 1447259569
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 07/20/2005
Last updated 10/14/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ARNP 2068702
  • FL Medicaid 303424100
  • FL Other 034712822 ANCC NATIONAL CERT.
  • FL Other ARNP 2068702 LICENSE NUMBER
Hospital affiliation(s) Not Available
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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