| Doctor Name: | PETER WILKINSON |
| NPI Number: | 1164893574 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APRN, NP-C |
| License Number: | APRN00759 |
| Business Practice Address: | 308 Callahan Rd North Kingstown, RI - 028527739 |
| Business Phone Number: | 4012959706 |
| Business Fax Number: | |
| Mailing Address: | 308 Callahan Rd, NORTH KINGSTOWN |
| State: | RI |
| Postal Code: | 028527739 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/12/2015 |
| NPI Last Update Date: | 10/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APRN00759 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |