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NPI Code Detail

MEDICARE: CATHERINE WILSON

MEDICARE: CATHERINE 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
1363LF0000XFamily Nurse PractitionerAPRN04888RI
2163W00000XRegistered NurseR193677MD
3363LF0000XFamily Nurse PractitionerR193677MD

General Provider Information

NPI Number : 1881185270
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE WILSON
Provider Business Mailing Address
First Line : 64 HIGGINS DR
Second Line :
City : KINGSTON
State : RI
Zip : 02881-1506
Country : US
Telephone Number : 401-789-0283
Fax Number : 401-789-0314
Provider Business Practice Location Address
First Line : 481 KINGSTOWN RD
Second Line :
City : WAKEFIELD
State : RI
Zip : 02879-3626
Country : US
Telephone Number : 401-789-0283
Fax Number : 401-789-0314
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2018
Last Update Date : 12/01/2025

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Directions to “ CATHERINE WILSON ” Practice Location

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