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NPI Code Detail

MEDICARE: KAYEE VERONICA WILSON FNP

MEDICARE: KAYEE VERONICA WILSON FNP
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
12084P0804XChild & Adolescent Psychiatry PhysicianR189585MD
2363LF0000XFamily Nurse PractitionerR189585MD
3363LP2300XPrimary Care Nurse PractitionerR189585MD

General Provider Information

NPI Number : 1679879688
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYEE VERONICA WILSON FNP
Provider Business Mailing Address
First Line : 8201 ANNAPOLIS RD
Second Line :
City : NEW CARROLLTON
State : MD
Zip : 20784-3016
Country : US
Telephone Number : 301-577-6222
Fax Number :
Provider Business Practice Location Address
First Line : 8201 ANNAPOLIS RD
Second Line :
City : NEW CARROLLTON
State : MD
Zip : 20784-3016
Country : US
Telephone Number : 301-577-6222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2011
Last Update Date : 05/04/2020

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