Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARLY ANNE WILSON, PA
ActiveCARLY ANNE WILSON, PA is a Physician Assistant healthcare provider located in RAPHINE, Virginia. NPI 1316698582 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · RAPHINE, VA
Registration Details
- NPI Number
- 1316698582
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 10, 2022 (4.5808018065448 yrs)
- Last Updated
- Mar 14, 2022
- License
-
0110008398 (VA)
Practice Information
- Address
-
25 COMMERCE PARK DRRAPHINE, VA, 244722547Browse VA providers · Browse ZIP 24472
- Phone
- 5404902527
- Primary Specialty
-
Physician Assistant
363A00000X
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.