NPI 1013469642

Erin Raley Wilson, PA

Practitioner Physician Assistant Shiprock, NM

Practice location

Address: Hwy 491 North, Shiprock, NM 87420
Phone: (406) 581-0654
Mailing address: 769 E 6th Ave, Durango, CO 81301-5508

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA2016-0095 (NM)

Other Physician Assistant providers in New Mexico →

Registry record

NPI: 1013469642
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Oct 2016
Record last updated: 31 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.