| Organization Name: | MARIANNE M. WILSON |
| NPI Number: | 1043385248 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARIANNE M. WILSON (OWNER DIRECTOR) |
| Mailing Address: | 802 2nd Street Se Cut Bank |
| State: | MT US |
| Postal Code: | 59427 |
| Phone Number: | 4068732236 |
| Fax Number: | 4068732867 |
| NPI Enumeration Date: | 11/22/2006 |
| NPI Last Update Date: | 11/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0600X |
| License Number: | 013820809 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |