NEDRAE NICHELLE WILSON
NPI 1124749429
Registered Nurse - Addiction (Substance Use Disorder) in Highland Park, MI
About Nedrae Nichelle Wilson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEDRAE NICHELLE WILSON (NPI 1124749429) is an individual addiction (substance use disorder) provider in Highland Park, Michigan, licensed in Michigan (4704241724) and active in the NPI registry since September 2022.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HIGHLAND PARK, MI 48203
HIGHLAND PARK, MI 48203
HIGHLAND PARK, MI 48203
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nedrae Wilson's NPI number?
The NPI number for Nedrae Wilson is 1124749429. It was assigned to this individual provider in the NPPES registry on September 6, 2022.
Where is Nedrae Wilson located?
Nedrae Wilson practices at 12501 Hamilton Ave, Highland Park, MI 48203. The listed phone number is (313) 865-1580.
What is Nedrae Wilson's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in Addiction (Substance Use Disorder), with taxonomy code 163WA0400X.
When was this NPI record last updated?
The NPPES record for Nedrae Wilson was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nedrae Nichelle Wilson · NPI 1124749429
Addiction (Substance Use Disorder) provider in Highland Park, Michigan. Individual provider, active in the CMS NPPES registry since September 6, 2022.
## Identity
- **NPI:** 1124749429 (Entity type: Individual)
- **Enumerated:** September 6, 2022
- **Primary specialty:** Registered Nurse - Addiction (Substance Use Disorder) · taxonomy 163WA0400X
- **State license:** 4704241724 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 12501 HAMILTON AVE, Highland Park, MI 48203-3243
- **Phone:** (313) 865-1580
## Record status
- **NPPES last updated:** September 6, 2022
- **Other identifiers:** Medicaid 4704241724 (MI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1124749429) · Data from the CMS NPPES public registry.