MEDICARE: ARLENE MICHELLE WILSON CRNA

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	367500000X	Certified Registered Nurse Anesthetist	ARNP2894012	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558321893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARLENE MICHELLE WILSON CRNA

Provider Business Mailing Address
First Line	:	4500 N UNIVERSITY DR # 202
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-1625
Country	:	US
Telephone Number	:	954-745-9505
Fax Number	:	954-745-9505

Provider Business Practice Location Address
First Line	:	4500 N UNIVERSITY DR # 202
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-1625
Country	:	US
Telephone Number	:	954-745-9505
Fax Number	:	954-745-9505

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

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	08/29/2025

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