Ivory Wilson, is a
Licensed Practical Nurse based in Indian Orchard, Massachusetts. Ivory Wilson is licensed to practice in Massachusetts (license number LN96517) and her current practice location is
200 Fiberloid St, Indian Orchard, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(413) 381-6644.
NPI number for Ivory Wilson is 1720847130 and her current mailing address is 200 Fiberloid St, Indian Orchard, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720847130.
Provider's Profile
Full Name | Ivory Wilson |
---|
Gender | Female |
---|
Speciality | Licensed Practical Nurse |
---|
Location | 200 Fiberloid St, Indian Orchard, Massachusetts |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720847130
- Provider Enumeration Date: 03/18/2024
- Last Update Date: 03/18/2024
Medical Identifiers
Medical identifiers for Ivory Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720847130 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | LN96517 (Massachusetts) | 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. Ivory 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 |
Ivory Wilson, 200 Fiberloid St, Indian Orchard, MA 01151-1006 Ph: () - | Ivory Wilson, 200 Fiberloid St, Indian Orchard, MA 01151-1006 Ph: (413) 381-6644 |
Reviews and Comments