Denise V Wilson, CRNP | |
957 National Hwy Ste 3, Lavale, MD 21502-7356 | |
(240) 362-7128 | |
(240) 362-7129 |
Full Name | Denise V Wilson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 20 Years |
Location | 957 National Hwy Ste 3, Lavale, Maryland |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255370524 | NPI | - | NPPES |
187329YDSJ | Other | MD | MEDICARE-UNSPECIFIED |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | R137604 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Western Maryland Regional Medical Center | Cumberland, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Proactive Pain And Neurology Llc | 1355609355 | 5 |
Entity Name | Rosario Gonzaga Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356684302 PECOS PAC ID: 9032340419 Enrollment ID: O20140327002007 |
Entity Name | Proactive Pain And Neurology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417460619 PECOS PAC ID: 1355609355 Enrollment ID: O20171221000314 |
Mailing Address | Practice Location Address |
---|---|
Denise V Wilson, CRNP 957 National Highway, Ste 3, Lavale, MD 21502 Ph: (240) 362-7128 | Denise V Wilson, CRNP 957 National Hwy Ste 3, Lavale, MD 21502-7356 Ph: (240) 362-7128 |
Mrs. Corrine Lorraine Lamm, CRNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 920 National Highway, Lavale, MD 21502 Phone: 301-759-4544 Fax: 301-723-4446 | |
Jennifer Leah Venda Jallad, CRNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 14701 National Hwy Sw Ste 5&6, Lavale, MD 21502 Phone: 304-303-9841 |