MRS. OLIVIA DAWN WILSON


Address: 5105 Clover Mist Dr, Apollo Beach, FL 33572-3417
Phone: 8133604025

MRS. OLIVIA DAWN WILSON (NPI# 1073131850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073131850
Entity Type Individual
Full Name MRS. OLIVIA DAWN WILSON
Credential APRN
Practice Address 5105 Clover Mist Dr
Apollo Beach
FL 33572-3417
Practice Telephone 8133604025
Mailing Telephone 8133604025
Enumeration Date 2020-07-08
Last Update Date 2020-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
APRN11007929 FL Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 5105 CLOVER MIST DR
City APOLLO BEACH
State FL
Zip Code 33572-3417

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295367001 Carolyne P Cole Marriage & Family Therapist Revolutionary Change Counseling, 300 Frandorson Circle #200, Apollo Beach, FL 33572 2020-02-10
1295380111 Florida Home Care Associates LLC In Home Supportive Care 5948 Frond Way, Apollo Beach, FL 33572 2019-08-07
1386156297 Orthopros Pllc Dentist 423 Apollo Beach Blvd, Apollo Beach, FL 33572 2017-11-01
1588907521 Raymond Eric Major Family Medicine 917 Symphony Isles Bl, Apollo Beach, FL 33572 2013-03-28
1760780399 Sharon Ann Collier Dentist 101 Flamingo Dr., Ste. D Apollo Beach Family Dentistry, Apollo Beach, FL 33572 2011-03-07
1003091380 John R Hayden Chiropractor 100 Frandson Ct., Suite 101, Apollo Beach, FL 33572 2008-01-04
1275541195 William H Smith Massage Therapist 100 Frandorson Circle, Suite 201, Apollo Beach, FL 33572 2006-08-04
1922023639 Theresa Marie Thiele Physician Assistant 201 Flamingo Dr, Apollo Beach, FL 33572 2006-07-13
1912940073 Suzzette Marie Svercek Massage Therapist 813 Chipaway Drive, Apollo Beach, FL 33572 2006-06-14
1457320194 Accupath Plus LLC Clinical Medical Laboratory 5938 Frond Way, Apollo Beach, FL 33572 2006-03-15
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1366043614 Christi Koshy Nurse Practitioner 4025 N Nob Hill Rd Apt 207, Sunrise, FL 33351-5811 2020-11-03
1730789322 Michelle Yen-vera Nurse Practitioner 18409 Nw 9th Ct, Pembroke Pines, FL 33029-3607 2020-11-01
1376143487 Aimee N Jorgenson Stough Nurse Practitioner 91550 Overseas Hwy Ste 209, Tavernier, FL 33070-2513 2020-10-28
1588271233 Olivia Janelle De Jong Nurse Practitioner 424 Ne 6th St Apt D, Gainesville, FL 32601-5576 2020-09-28
1801407796 Elisabeth Morley Chinlund Nurse Practitioner 445 Delmar Ter S Apt 5, Saint Petersburg, FL 33701-4653 2020-08-13
1972113025 Nicole Horn Nurse Practitioner 8095 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8290 2020-08-04
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1285263335 Summer Leigh Moran Nurse Practitioner 528 W Baldwin Rd # A, Panama City, FL 32405-3313 2020-04-01
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Competitor

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City APOLLO BEACH
Zip Code 33572

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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