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MS. THERESA CECELIA WILSON PNP
NPI 1447481502
Nurse Practitioner - Pediatrics in New York, NY

Active since August 06, 2009
210 W 139TH ST, C/O EDWARD NICHOLS MD, NEW YORK, NY 10030(212) 234-2121(212) 234-1759 Get Directions Write a Review

NPPES record last updated: August 6, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Theresa Cecelia Wilson Pnp NPPES

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

MS. THERESA CECELIA WILSON PNP (NPI 1447481502) is an individual pediatrics provider in New York, New York, licensed in New York (380137) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1447481502
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. THERESA CECELIA WILSONCredential: PNP
Location Address210 W 139TH ST, C/O EDWARD NICHOLS MDNew York, NY 10030-2109
Mailing Address210 W 139th St, C/o Edward Nichols MdNew York, NY 10030-2109 · (212) 234-2121 · Fax (212) 234-1759
Phone(212) 234-2121
Fax(212) 234-1759
Sole ProprietorNo
Enumeration DateAugust 6, 2009
✔ NPI 1447481502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · 380137
210 W 139TH ST, New York, NY 10030
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Other Identifiers 1

Medicaid02146716NY

Other Providers at the Same Location NPPES 2

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

MS. DIANA ANNMARIE WINT FNP
Nurse Practitioner (Family)
210 W 139TH ST, BASEMENT
NEW YORK, NY 10030
New York County (718) 926-6335
DR. EDWARD ATKINSON NICHOLS MD
Pediatrics
210 W 139TH ST
NEW YORK, NY 10030
New York County (212) 234-2121

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 Theresa Wilson's NPI number?

The NPI number for Theresa Wilson is 1447481502. It was assigned to this individual provider in the NPPES registry on August 6, 2009.

Where is Theresa Wilson located?

Theresa Wilson practices at 210 W 139th St C/O Edward Nichols MD, New York, NY 10030. The listed phone number is (212) 234-2121.

What is Theresa Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Theresa Wilson was last updated on August 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.