Decal Wilson, NPSTUDENT
Decal Wilson, NPSTUDENT is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2008, 18 years ago. Practices with Shock Trauma Associates PA, a 262-clinician group and accepts Medicare assignment. Licensed in Maryland.
- Years since qualifying
- 18
- Licensed in
- MD
- In the registry since
- 2021
Practice location Address checks out
22 S Greene StBaltimore, MD 21201-1544
Phone: (410) 328-3179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Critical Care Medicine Registered Nurse (primary) | Taxonomy 163WC0200X · Licence R217972 (MD) |
|---|
Record details
| NPI number | 1932871894 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NPSTUDENT |
| Sole proprietor | No |
| NPI enumerated | September 29, 2021 |
| Last updated in NPPES | October 27, 2021 |
| Certification date | October 27, 2021 |
| Mailing address | 22 S Greene St, Baltimore, MD 21201-1544 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2008 (18 years in practice) |
| Group practice | Shock Trauma Associates Pa — 262 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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