Ms. Mary Deborah Wilson is a Berlin, Maryland based nurse practitioner. Active license number of Ms. Mary Deborah Wilson is R056757 for Psych/Mental Health in Maryland. Her current practice location is 11022 Nicholas Ln, Unit 2 Suite 1, Berlin. Patients can reach her at 410-641-5190 or can fax her at 410-641-5463. Ms. Mary Deborah Wilson is PMHNP-BC and her NPI number (Unique professional ID assigned by NPPES) is 1306051313. Ms. Mary Deborah Wilson has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Ms. Mary Deborah Wilson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Ms. Mary Deborah Wilson
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
PMHNP-BC
Practice Address:
11022 Nicholas Ln, Unit 2 Suite 1, Berlin, Maryland, 21811-3353
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1306051313
NPI Enumeration Date:
12 May, 2007
NPI Last Update On:
12 Jun, 2020
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Mary Deborah Wilson are as mentioned below.
License Number
Specialization
State
Status
R056757
Psych/Mental Health
Maryland
Primary
R056757
Nurse Practitioner
Maryland
Secondary
R056757
Gerontology
Maryland
Secondary
R056757
Clinical Nurse Specialist
Maryland
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Mary Deborah Wilson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
609550001
Medicaid
Maryland
517251
Other
Maryland
OPTUM
346646
Other
Maryland
MANAGED HEALTH NET/TRICARE
259147-000
Other
Maryland
MAGELLAN BEHAVIORAL HEALTH
609550004
Medicaid
Maryland
499188
Other
Maryland
BEACON HEALTH OPTIONS
609550002
Medicaid
Maryland
7840093
Other
Maryland
AETNA
R968
Other
Maryland
CAREFIRST OF MARYLAND
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Ms. Mary Deborah Wilson 11022 Nicholas Ln, Unit 2 Suite 1 Berlin, Maryland
Zip:
21811-3352
Phone Number:
410-641-5190
Fax Number:
410-641-5463
Patients can reach Ms. Mary Deborah Wilson at 11022 Nicholas Ln, Unit 2 Suite 1, Berlin, Maryland or can call to book an appointment on 410-641-5190.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.