MARIE DALY WILSON (NPI# 1093715484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093715484 |
| Entity Type | Individual |
| Full Name | MARIE DALY WILSON |
| Credential | FNP |
| Practice Address |
7550 Goodwin Rd Chattanooga TN 37421 |
| Mailing Address |
1807 Andover Pl Chattanooga TN 37421-2193 |
| Practice Telephone | 4238943252 |
| Mailing Telephone | 9729630211 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2019-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
23909 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
663438 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 175647002 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 8N8460 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2620 Westside Dr Nw, Cleveland, TN 37312 | 4233391760 | |
| 7550 Goodwin Rd, Chattanooga, TN 374213182 | 4238943252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598381881 | Marie Wilson | Massage Therapist | 116 W 7th Ave Ste 223, Stillwater, OK 74074-4050 | 2020-06-22 |
| 1336565373 | Marie Gendreau Wilson | Counselor | 1218 Griegos Rd. Nw, Open Skies Healthcare, Albuquerque, NM 87107 | 2014-03-14 |
| 1437377678 | Marie Gesuele Wilson | Social Worker | 65 W 96th St Apt 20b, New York, NY 10025-6533 | 2007-04-23 |
| 1043372865 | Marie Delores Wilson | Counselor | 2020 Downyflake Ln, Suite 302a, Allentown, PA 18103-4917 | 2006-12-15 |
| 1750982799 | Marie Elaine Wilson | Case Manager/Care Coordinator | 79 Winston Dr Ste 235, Rock Springs, WY 82901-5770 | 2020-11-05 |
| 1285042580 | Marie Wilson | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2014-07-30 |
| 1801227921 | Marie Kamper Wilson | Nurse Practitioner | 909 Walnut St, C.o.b. Room 300, Philadelphia, PA 19107-5211 | 2013-11-30 |
| 1194076760 | Marie Elizabeth Wilson | Counselor | 1666 N Main St, Ste. 400, Santa Ana, CA 92701-7417 | 2012-09-24 |
| 1538461587 | Marie Antonette Wilson | Speech-Language Pathologist | 411 Sw 24th St, San Antonio, TX 78207-4617 | 2010-11-24 |
| 1770894073 | Marie Elizabeth Wilson | Counselor | 4339 Winston Ave, Covington, KY 41015-1739 | 2010-07-01 |
| Street Address |
7550 GOODWIN RD |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861966251 | Megan P Swisher | Nurse Practitioner | 7550 Goodwin Rd, Chattanooga, TN 37421-3182 | 2019-01-18 |
| 1871094284 | Ashley Nicole Lamb | Nurse Practitioner | 7550 Goodwin Rd, Chattanooga, TN 37421-3182 | 2018-02-22 |
| 1376953513 | Yasmine Swistek | Nurse Practitioner | 7550 Goodwin Rd, Chattanooga, TN 37421-3182 | 2014-04-28 |
| 1215355946 | Kristy Davis | Nurse Practitioner | 7550 Goodwin Rd, Chattanooga, TN 37421-3182 | 2014-03-31 |
| 1316224728 | Melody L Halloran | Nurse Practitioner | 7550 Goodwin Rd, Chattanooga, TN 37421-3182 | 2011-11-14 |
| 1023206075 | Rachel A Nelson | Pediatrics | 7550 Goodwin Rd, Chattanooga, TN 37421-3182 | 2007-10-03 |
| 1306821137 | Pamela M Burton | Obstetrics & Gynecology | 7550 Goodwin Rd, Chattanooga, TN 37421-3182 | 2005-12-14 |
| 1124003959 | James M Richardson | Pediatrics | 7550 Goodwin Rd, Chattanooga, TN 37421-3182 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043828692 | Michelle Colby | Nurse Practitioner | 1050 Givens Rd, Chattanooga, TN 37421-4370 | 2020-07-20 |
| 1750999553 | Julia Clare Cervantes Aguilar | Nurse Practitioner | 3756 Knollwood Dr, Chattanooga, TN 37415-4203 | 2020-07-17 |
| 1447876743 | Cathleen Marie Cornett | Nurse Practitioner | 979 E 3rd St Ste C-300, Chattanooga, TN 37403-2136 | 2020-06-23 |
| 1487279139 | Roxy Gazaway | Nurse Practitioner | 721 Glenwood Dr Ste W560, Chattanooga, TN 37404-1129 | 2020-06-09 |
| 1801410253 | Stacey Buckner | Nurse Practitioner | 207 Booth Rd, Chattanooga, TN 37411-2702 | 2020-06-02 |
| 1073158630 | Jerry Lynn Reed Jr. | Nurse Practitioner | 7480 Ziegler Rd Ste 150, Chattanooga, TN 37421-4947 | 2019-11-07 |
| 1508411729 | Jerin C Alexander | Nurse Practitioner | 6918 Shallowford Rd Ste 226, Chattanooga, TN 37421-1552 | 2019-08-05 |
| 1295388841 | Ann Mercy Binoy | Nurse Practitioner | 425 Cumberland St # 110, Chattanooga, TN 37404-1909 | 2019-07-23 |
| 1528610466 | Kristina Wagner Daly | Nurse Practitioner | 504 E 17th St, Chattanooga, TN 37408-2107 | 2019-07-11 |
| 1023679909 | Megan Elizabeth Coffey | Nurse Practitioner | 3321 Montview Dr, Chattanooga, TN 37411-3524 | 2019-06-22 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
Please comment or provide details below to improve the information on MARIE DALY WILSON.
| 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.