Ms. Mary Deborah Wilson
PMHNP-BC | Nurse Practitioner
11022 Nicholas Ln, Unit 2 Suite 1, Berlin
Maryland, 21811-3353
410-641-5190
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 |
| Phone: | 410-641-5190 |
| Fax: | 410-641-5463 |
Professional Identification Codes:
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:
Patients can read all the reviews posted for Ms. Mary Deborah Wilson below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Ms. Mary Deborah Wilson. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.