Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY L WILSON, CNM
ActiveSTACEY L WILSON, CNM is a Obstetrics & Gynecology Nurse Practitioner healthcare provider located in BEAVERTON, Oregon. NPI 1629102272 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology Nurse Practitioner · BEAVERTON, OR
Registration Details
- NPI Number
- 1629102272
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 15, 2007 (19.451951193813 yrs)
- Last Updated
- Apr 29, 2008
- License
-
OR 200050017NP (OR)
Practice Information
- Address
-
4855 SW WESTERN AVEBEAVERTON, OR, 970053460Browse OR providers · Browse ZIP 97005
- Phone
- 5036265515
- Primary Specialty
-
Obstetrics & Gynecology Nurse Practitioner
363LX0001X
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.