NPI
Crystal Rae Wilson
NPI 1477279446
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2022-10-12
- Last updated
- 2022-10-12
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Specialties
Licenses
- License OH
- Number not in the file
Location
- Practice location
- 40328 Burlingham Rd
- City
- Shade OH
- Postal code
- 45776-9505
- Phone
- (740) 590-9205
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Shade, OH. 8 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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