Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THOMAS GROVE WILSON, CNP
ActiveTHOMAS GROVE WILSON, CNP is a Primary Care Nurse Practitioner healthcare provider located in MAPLEWOOD, Minnesota. NPI 1316495401 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · MAPLEWOOD, MN
Registration Details
- NPI Number
- 1316495401
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 16, 2016 (9.9405129829662 yrs)
- Last Updated
- Sep 16, 2016
- Licenses
-
CNP 4710 (MN)CNP 4710 (MN)CNP 4710 (MN)
Practice Information
- Address
-
3100 KENNARD STSUITE 100MAPLEWOOD, MN, 551095465Browse MN providers · Browse ZIP 55109
- Phone
- 6512327800
- Fax
- 6512327940
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
- Additional Specialty
- Gerontological Nurse Practitioner
- Additional Specialty
- Primary Care Nurse Practitioner
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.