Healthcare Provider Details

I. General information

NPI: 1396667366
Provider Name (Legal Business Name): SYMPHONY WILSON BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 COLLEGE RD
KEY WEST FL
33040-4342
US

IV. Provider business mailing address

8 BETTY ROSE DR APT 805
KEY WEST FL
33040-5749
US

V. Phone/Fax

Practice location:
  • Phone: 305-294-5531
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberRN335900
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: