Bernice Wilson
Specialist · Fort Wayne, IN
Practice location
4202 Buell DrFort Wayne, IN 46807-2743
- Phone
- (260) 341-4756
NPI record
- NPI
- 1649458662
- Entity type
- Individual (Type 1)
- Enumeration date
- January 31, 2008
- Last updated
- January 31, 2008
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X |
32001561A | IN |
About Bernice Wilson
Bernice Wilson is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 4202 Buell Dr, Fort Wayne, IN 46807-2743. The NPI number 1649458662 was assigned on January 31, 2008 and the record was last updated on January 31, 2008.
Bernice Wilson lists a license in the registry: #32001561A (IN) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Bernice Wilson?
The NPI number is 1649458662.
What is the phone number of Bernice Wilson?
The phone number listed for the practice location is (260) 341-4756.
Where is Bernice Wilson located?
4202 Buell Dr, Fort Wayne, IN 46807-2743.
What is the taxonomy code for Bernice Wilson?
The primary taxonomy code is 174400000X – Specialist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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