Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OCTAIVIA WILSON
ActiveOCTAIVIA WILSON is a Community Health Worker healthcare provider located in WALES,, Alaska. NPI 1083976393 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · WALES,, AK
Registration Details
- NPI Number
- 1083976393
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 12, 2012 (14.185549857472 yrs)
- Last Updated
- Jun 12, 2012
- License
-
12-1179-III (AK)
Practice Information
- Address
-
530 HOLLYWOOD DRIVEWALES,, AK, 99783Browse AK providers · Browse ZIP 99783
- Phone
- 9076643311
- Fax
- 9076642135
- Primary Specialty
-
Community Health Worker
172V00000X
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.