Elizabeth R Wilson, LPN is a
Licensed Practical Nurse based in Canton, Ohio. Elizabeth R Wilson is licensed to practice in Ohio (license number PN095547) and her current practice location is
624 Market Ave. N., Canton, Ohio. She can be reached at her office (for appointments etc.) via phone at
(330) 493-4553.
NPI number for Elizabeth R Wilson is 1093904427 and her current mailing address is 624 Market Ave. N, Canton, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093904427.
Healthcare Provider's Profile
Full Name | Elizabeth R Wilson |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 624 Market Ave. N., Canton, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093904427
- Provider Enumeration Date: 10/22/2007
- Last Update Date: 04/14/2016
Medical Identifiers
Medical identifiers for Elizabeth R Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093904427 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | PN095547 (Ohio) | Secondary |
164W00000X | Licensed Practical Nurse | PN095547 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elizabeth R Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Elizabeth R Wilson, LPN 624 Market Ave. N, Canton, OH 44702-1017 Ph: (330) 493-4553 | Elizabeth R Wilson, LPN 624 Market Ave. N., Canton, OH 44702-1017 Ph: (330) 493-4553 |
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