NPI 1013596139

Carlie Wilson, MSNPRNAGCNSBC

Practitioner Gerontology Clinical Nurse Specialist Livonia, MI

Practice location

Address: 19360 Shadyside St, Livonia, MI 48152-1319
Phone: (734) 678-7186

Registered specialties

Gerontology Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SG0600X Licence 2021000750 (MI)

Other Clinical Nurse Specialist providers in Michigan →

Registry record

NPI: 1013596139
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Apr 2021
Record last updated: 6 Apr 2021

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.