Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANGELA WILSON, FNP-BC
DeactivatedANGELA WILSON, FNP-BC is a Family Nurse Practitioner healthcare provider located in CANTON, Illinois. NPI 1336953108 is deactivated in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · CANTON, IL
This NPI has been deactivated.
The record was deactivated on March 11, 2025.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1336953108
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 3, 2025 (0.098630136986301 yrs)
- Last Updated
- Mar 17, 2025
- Deactivated
- Mar 11, 2025
- License
-
209031848 (IL)
Practice Information
- Address
-
210 W WALNUT STCANTON, IL, 615202444Browse IL providers · Browse ZIP 61520
- Phone
- 3096475240
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in CANTON, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. ELISE MARIE MEFFORD | FNP | 1396144499 |
| BRITTANY NICOLE MILLER | APRN FNP-C | 1619375532 |
| DAWN MARIE COUSINS | APN | 1629420229 |
| CASSIE J STONE | CFNP | 1871001644 |
| LACEY N MCMAHILL | APN | 1851891071 |
| MS. DARA MARIE WAGNER | APN-C | 1063046464 |
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.