DR. KATELYN JEANNE WILSON PMHNP
NPI 1619430907
Military Health Care Provider in Albuquerque, NM
- Individual
- Female
- Military Health Care Provider
About KATELYN WILSON
This page provides the complete NPI Profile along with additional information for Katelyn Wilson, a provider established in Albuquerque, New Mexico with a medical specialization in Military Health Care Provider. The healthcare provider is registered in the NPI registry with number 1619430907 assigned on April 2019. The practitioner's primary taxonomy code is 171000000X. The provider is registered as an individual and her NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1619430907 Verify this NPI
- Provider Name
- DR. KATELYN JEANNE WILSON PMHNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1501 SAN PEDRO DR SE ALBUQUERQUE, NM 87108
- Location Phone
- (505) 846-3305
- Mailing Address
- 1030 HIGHLANDS PLAZA DR E APT 202 SAINT LOUIS, MO 63110
- Mailing Phone
- (314) 225-8083
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-12-2019
- Last Update Date
- 04-12-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Military Health Care Provider
- Taxonomy Code
- 171000000X
- Type
- Other Service Providers
- Taxonomy Description
- Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ALBUQUERQUE, NM 87108
ALBUQUERQUE, NM 87108
ALBUQUERQUE, NM 87108
ALBUQUERQUE, NM 87108
ALBUQUERQUE, NM 87108
ALBUQUERQUE, NM 87108
ALBUQUERQUE, NM 87108
ALBUQUERQUE, NM 87108
ALBUQUERQUE, NM 87108
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619430907, enumerated as an "individual" on April 12, 2019.
The provider is located at 1501 SAN PEDRO DR SE ALBUQUERQUE, NM 87108 and the phone number is (505) 846-3305.
Military Health Care Provider with taxonomy code 171000000X.
