MRS. CARLY ANN WILSON NP
NPI 1396386215
Nurse Practitioner - Family in Rochester, MI

Q: What is Carly Wilson's NPI number?

The NPI number for Carly Wilson is 1396386215. It was assigned to this individual provider in the NPPES registry on October 2, 2019.

Q: What is Carly 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 Carly Wilson was last updated on December 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 02, 2019

211 WALNUT BLVD, ROCHESTER, MI 48307(248) 413-5835 Get Directions Write a Review

NPPES record last updated: December 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 5, 2021, Oct 23, 2020, Oct 2, 2019 (3 updates tracked since 2019).

On this page

About Mrs. Carly Ann Wilson Np NPPES

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

MRS. CARLY ANN WILSON NP (NPI 1396386215) is an individual family provider in Rochester, Michigan, licensed in Michigan (4704307528NSA190PR) and active in the NPI registry since October 2019. She maintains a secondary practice location in Troy.

NPPES Registry Identity

NPI1396386215

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. CARLY ANN WILSONCredential: NP

Location Address211 WALNUT BLVDRochester, MI 48307-2056

Mailing Address1944 Bacon AveBerkley, MI 48072-1061 · (248) 756-8753

Phone(248) 413-5835

Sole ProprietorNo

Enumeration DateOctober 2, 2019

Last NPPES UpdateDecember 5, 20213 updates tracked since enumeration

NPPES CertifiedDecember 5, 2021

✔ NPI 1396386215 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 MI · 4704307528NSA190PR

211 WALNUT BLVD, Rochester, MI 48307

Open in Google Maps ↗

Secondary Practice Location 1

Location 11629 W Big Beaver RdTroy, MI 48084-3542 · Phone (248) 243-1263

Other Providers at the Same Location NPPES

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

THERESA LYNNE LABRANCHE M.S. PA C

Physician Assistant (Medical)

211 WALNUT BLVD
ROCHESTER, MI 48307

Oakland County (586) 651-2155

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 Carly Wilson's NPI number?

The NPI number for Carly Wilson is 1396386215. It was assigned to this individual provider in the NPPES registry on October 2, 2019.

Where is Carly Wilson located?

Carly Wilson practices at 211 Walnut Blvd, Rochester, MI 48307. The listed phone number is (248) 413-5835.

What is Carly Wilson's specialty?

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

When was this NPI record last updated?

The NPPES record for Carly Wilson was last updated on December 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.