Most Relevant Information
Provider Data
| NPI Number: | 1003681941 |
| Provider Name: | SOPHIA ROCHELLE WILSON BSN, RN |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/21/2023 |
| Last Updated: | 11/21/2023 |
Provider Practice Location
WAKE FOREST SCHOOL OF MEDICINE NURSE ANESTHESIA PROGRAM
525 VINE STREET
WINSTON SALEM
NC
271037065
Practice Location Phone/Fax
| Phone: | 3367161411 |
| Fax: |
Provider Mailing Location
WAKE FOREST SCHOOL OF MEDICINE NURSE ANESTHESIA PROGRAM
525 VINE STREET
WINSTON SALEM
NC
271037065
Provider Mailing Phone/Fax
| Phone: | 3367161411 |
| Fax: |