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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MICAH LOREN WILSON, NP-C

Active

MR. MICAH LOREN WILSON, NP-C is a Family Nurse Practitioner healthcare provider located in RUTHERFORD COLLEGE, North Carolina. NPI 1053720730 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · RUTHERFORD COLLEGE, NC

Registration Details

NPI Number
1053720730
Provider Type
Individual
Gender
Male
NPI Issued
Aug 7, 2014 (11.876688285297 yrs)
Last Updated
Aug 7, 2014
License
5006984 (NC)

Practice Information

Address
111 HILLTOP STREET
RUTHERFORD COLLEGE, NC, 28671
Browse NC providers · Browse ZIP 28671
Phone
8288744293
Primary Specialty
Family Nurse Practitioner
363LF0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.