BREANN NICHOLE WILSON NP - NPI 1245906700 - Nurse Practitioner in Spokane, WA

Q: What is Breann Wilson's NPI number?

The NPI number for Breann Wilson is 1245906700. It was assigned to this individual provider in the NPPES registry on August 17, 2021.

Q: What is Breann Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Breann Wilson was last updated on August 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Breann Nichole Wilson Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREANN NICHOLE WILSON NP (NPI 1245906700) is an individual family provider in Spokane, Washington, licensed in Washington (AP61194174) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1245906700

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameBREANN NICHOLE WILSONCredential: NP

Location Address1100 W MALLON AVESpokane, WA 99260-2043

Mailing Address3011 S Arthur StSpokane, WA 99203-3173

Phone(509) 477-2278

Sole ProprietorNo

Enumeration DateAugust 17, 2021

Last NPPES UpdateAugust 19, 2021

NPPES CertifiedAugust 19, 2021

✔ NPI 1245906700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WA · AP61194174

1100 W MALLON AVE, Spokane, WA 99260

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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER CROWDER

Counselor (Mental Health)