NPI 1245644186

Tracy a Wilson, LPN

Practitioner Licensed Practical Nurse Pearl Harbor, HI

Practice location

Address: 480 Central Ave, Pearl Harbor, HI 96860-4908
Phone: (808) 471-1866
Mailing address: 2370 Pond Rd, Kailua, HI 96734-4842

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence LPN-17153 (HI)

Other Licensed Practical Nurse providers in Hawaii →

Registry record

NPI: 1245644186
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jun 2014
Record last updated: 18 Jun 2014

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.