MEDICARE: MS. PAMELA MARIE WILSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1073899779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PAMELA MARIE WILSON

Provider Business Mailing Address
First Line	:	1325 HEWITT ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-1922
Country	:	US
Telephone Number	:	702-646-3504
Fax Number	:

Provider Business Practice Location Address
First Line	:	4550 W OAKEY BLVD
Second Line	:	SUIT 100
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1581
Country	:	US
Telephone Number	:	702-726-6122
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2011
Last Update Date	:	10/25/2011

Similar Medicare Providers

1023125325 — DR. DAVID LEE HOPPER PHD
Practice Location Address:

4550 W OAKEY BLVD , SUITE # 106
LAS VEGAS, NV
89102-1581

Practice Phone: 702-405-6644
Practice Fax: 702-586-2057

1841542339 — WHOLE LIFE HEALTH THERAPY AND WELLNESS CENTER
Practice Location Address:

4550 W OAKEY BLVD , STE 99A
LAS VEGAS, NV
89102-1581

Practice Phone: 702-321-6222
Practice Fax:

1649516980 — EILEEN CASTLE
Practice Location Address:

4550 W OAKEY BLVD
LAS VEGAS, NV
89102-1581

Practice Phone: 702-371-9838
Practice Fax: 702-586-2057

1588902167 — MOTIVATION 4 CHANGE FAMILY SERVICES
Practice Location Address:

4550 W OAKEY BLVD , STE 97
LAS VEGAS, NV
89102-1581

Practice Phone: 702-719-9074
Practice Fax:

1720423023 — MAGNOLIA'S HEART INCORPORATED LLC
Practice Location Address:

4550 W OAKEY BLVD STE 111M
LAS VEGAS, NV
89102-1581

Practice Phone: 702-201-1657
Practice Fax: 702-921-3333

1205276334 — MR. ALEJANDRO GUZMAN SR.
Practice Location Address:

4550 W OAKEY BLVD , SUITE 111-Q
LAS VEGAS, NV
89102-1581

Practice Phone: 702-968-9372
Practice Fax: 702-932-3189

Directions to “ MS. PAMELA MARIE WILSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.