NPI 1104544097

Char'Tarian Wilson, PA

Practitioner Physician Assistant Metairie, LA

Practice location

Address: 2215 Veterans Memorial Blvd, Metairie, LA 70002-6322
Phone: (504) 838-3524
Mailing address: 1514 Jefferson Hwy, New Orleans, LA 70121-2429

Registered specialties (3)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 333750 (LA)

Other Physician Assistant providers in Louisiana →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 64500 (CA)

Registry record

NPI: 1104544097
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Aug 2022
Record last updated: 7 Oct 2024

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.