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Licinda Wilson

NPI 1225149347 · on the registry since 2006 · sole proprietor

Practice

Address: 325 New Castle Rd
Butler, PA 16001
Phone: (724) 637-3170
Organisation at this address: Butler Vamc
The Care Center
Butler Veteran'S Affairs
Department Of Veterans Affairs
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 146

Registry record

Primary taxonomy: Community Health Registered Nurse
163WC1500X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania