| Doctor Name: | SARA A WILSON |
| NPI Number: | 1275820334 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP9190825 |
| Business Practice Address: | 3654 Sw 30th Ave Palm City, FL - 349903700 |
| Business Phone Number: | 7724032227 |
| Business Fax Number: | |
| Mailing Address: | 4911 Bald Cypress Trl, FORT PIERCE |
| State: | FL |
| Postal Code: | 349513528 |
| Phone Number: | 7724892296 |
| Fax Number: | |
| NPI Enumeration Date: | 07/08/2011 |
| NPI Last Update Date: | 07/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP9190825 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |