Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Ann Wilson, IDC

Individual provider Independent Duty Corpsman · NPI 1144663725

Nicole Ann Wilson, IDC is an Independent Duty Corpsman in Alexandria, Virginia. Practices as a sole proprietor. Registered with an NPI since 2013.

In the registry since
2013
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Practice location Address checks out

4701 Apple Tree Dr
Alexandria, VA 22310-2802
Phone: (757) 412-9903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1144663725
Entity typeIndividual (Type 1)
GenderFemale
Credentials IDC
Sole proprietorYes
NPI enumeratedApril 12, 2013
Last updated in NPPESJuly 1, 2016

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