NPI 1023442407

Chantal Tanisha Marie Wilson

Practitioner Registered Nurse Orange, NJ

Practice location

Address: 765 Vose Ave APT B10, Orange, NJ 07050-1060
Phone: (973) 943-3728

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 670331 (NY)

Other Registered Nurse providers in New Jersey →

Registry record

NPI: 1023442407
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Aug 2013
Record last updated: 21 Aug 2013

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.