Basic Information
Provider Information
NPI: 1659714863
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WILKINS
FirstName: ALISON
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: RN, NP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 980102
Address2:  
City: RICHMOND
State: VA
PostalCode: 232980102
CountryCode: US
TelephoneNumber: 8048283144
FaxNumber: 8046287104
Practice Location
Address1: 1300 E MARSHALL ST
Address2:  
City: RICHMOND
State: VA
PostalCode: 232985054
CountryCode: US
TelephoneNumber: 8048283144
FaxNumber: 8046287104
Other Information
ProviderEnumerationDate: 04/08/2013
LastUpdateDate: 04/08/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X0024170793VAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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