| Doctor Name: | ELIZABETH MARIE WILSON |
| NPI Number: | 1013294198 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | LG-0000571 |
| Business Practice Address: | 18947 John J Williams Hwy Rehoboth Beach, DE - 199714474 |
| Business Phone Number: | 3026453770 |
| Business Fax Number: | 3026455718 |
| Mailing Address: | 424 Savannah Rd, LEWES |
| State: | DE |
| Postal Code: | 199581462 |
| Phone Number: | 3026453770 |
| Fax Number: | 3026455718 |
| NPI Enumeration Date: | 11/03/2011 |
| NPI Last Update Date: | 11/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | LG-0000571 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DE |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |