Edith Diane Wilson, MD

Urology Physician · Olympia, WA

Individual Active NPI

NPI number 1972602969

Practice location

615 Lilly Rd NE Ste 175
Olympia, WA 98506-5179
Phone
(360) 486-6772
Fax
(360) 486-6775

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NPI record

NPI
1972602969
Entity type
Individual (Type 1)
Enumeration date
September 22, 2006
Last updated
August 29, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Urology Physician Primary 208800000X 5500A WY
Urology Physician 208800000X 36402 CO

About Dr. Wilson

Edith Diane Wilson, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Urology Physician (code 208800000X). The practice location is 615 Lilly Rd NE Ste 175, Olympia, WA 98506-5179. The NPI number 1972602969 was assigned on September 22, 2006 and the record was last updated on August 29, 2011.

Dr. Wilson lists 2 licenses in the registry: #5500A (WY) for Urology Physician; #36402 (CO) for Urology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Edith Diane Wilson, MD?

The NPI number is 1972602969.

What is the phone number of Dr. Wilson?

The phone number listed for the practice location is (360) 486-6772.

Where is Dr. Wilson located?

615 Lilly Rd NE Ste 175, Olympia, WA 98506-5179.

What is the taxonomy code for Dr. Wilson?

The primary taxonomy code is 208800000X – Urology Physician; 1 more listed above.

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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