NICOLE ANN WILSON


Address: 4701 Apple Tree Dr, Alexandria, VA 22310-2802
Phone: 7574129903

NICOLE ANN WILSON (NPI# 1144663725) 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) 1144663725
Entity Type Individual
Full Name NICOLE ANN WILSON
Credential IDC
Practice Address 4701 Apple Tree Dr
Alexandria
VA 22310-2802
Practice Telephone 7574129903
Mailing Telephone 7574129903
Enumeration Date 2013-04-12
Last Update Date 2016-07-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

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1275845547 Nicole Olivia Wilson Nurse Practitioner 914 1st Ave Se, Minot, ND 58701-4008 2010-07-02
1093941056 Nicole Sharee Wilson Chiropractor 1455 Westfield Ave Sw, North Canton, OH 44720-4235 2009-06-04
1891929923 Nicole Marie Wilson Chiropractor 1411 Nw Raleigh Street, Portland, OR 97209-2573 2009-05-04
1902044217 Nicole Ann Wilson Pharmacist 4 Railroad Street, St. Marys, PA 15857-1798 2009-01-23
1396344883 Nicole Wilson Technician 111 Virginia Ave, Petersburg, WV 26847-1713 2020-10-26
1710510201 Nicole Sara Wilson Nurse Practitioner 900 Centennial Blvd Ste 202, Voorhees, NJ 08043-4637 2020-02-13

Office Location

Street Address 4701 APPLE TREE DR
City ALEXANDRIA
State VA
Zip Code 22310-2802

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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750546404 Rio Martin Yap Gomez Military Health Care Provider 5800 Quantrell Ave #420, Alexandria, VA 22132 2008-07-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306455522 Kevin Bradley Military Health Care Provider 903 13th St, Virginia Beach, VA 23451-4476 2020-07-23
1851900088 Seth Walter Military Health Care Provider 1825 Olympic Dr, Virginia Beach, VA 23453-3720 2020-07-23
1912545534 Ashton Neal Burnett Military Health Care Provider 1875 Cove Rd Bldg 3806, Virginia Beach, VA 23459-8911 2019-12-13
1447814090 Francis Anthony Edquid Military Health Care Provider 9560 Farragut Ave, Norfolk, VA 23511-2715 2019-04-30
1215591888 Nash Richard Galvan Military Health Care Provider 456-462 Pocahontas St, Norfolk, VA 23511 2019-04-29
1639655376 Brian D Blincoe Military Health Care Provider 7207 Masonville Drive, Annandale, VA 22003 2018-07-16
1578056743 Elis Bojaxhi Military Health Care Provider 3044 Ashlawn Ter, Virginia Beach, VA 23452-6508 2018-06-12
1801307327 Michael Wesley Dixon Military Health Care Provider 4008 Buchanan Dr, Hampton, VA 23669-4608 2017-10-24
1942719380 Clinton James Barton Military Health Care Provider 1016 Norwyk Ln, Williamsburg, VA 23188-3500 2017-09-28
1215463104 Markeece Oneale Military Health Care Provider 13020 Amesbury St, Woodbridge, VA 22192-3702 2017-05-11
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Competitor

Search similar providers

City ALEXANDRIA
Zip Code 22310

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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