Carol Wilson, NP
Individual provider Active NPI Family Nurse Practitioner · Meadowview, VA
NPI 1467423970 · NPPES record last updated Oct 23, 2014
Key facts
- NPI
- 1467423970
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024166050 (VA)
- Practice address
- 13168 Meadowview Square
Meadowview, VA 24361-3328 - Phone
- (276) 944-3999
- Fax
- (276) 944-3882
- NPI assigned
- Feb 1, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024166050 | VA | Yes |
Addresses
Primary practice location
13168 Meadowview Square
Meadowview, VA 24361-3328
Mailing address
PO Box 729
Saltville, VA 24370-0729
Phone (276) 496-4492
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q008264 | Medicaid | TN |
Other providers in Meadowview, VA
- James Ross Shauberger
- Southwest Virginia Community Health Systems Inc.
- Donna Jean Sparks
- Teresa Mae Vance
- Alex Versen
- Kristen Nicole Yost
- Isabelle Zukaitis
All providers in Meadowview, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.