John Rivers Wilson APRN

NPI 1386753713 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1386753713
Gender Male
Enumeration Date 08/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2495 SHREVEPORT HWY
VAMC - ALEXANDRIA
PINEVILLE LA, 71360-4044, US
Phone (318) 473-0010
Fax (318) 483-5132
Business Location
PO BOX 12761
ALEXANDRIA LA, 71315-2761, US
Phone (318) 449-8628
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Louisiana
License Number AP03906
Remove 1386753713 NPI Number
 

According to our database, Mr. John Rivers Wilson APRN NPI is 1386753713, taxonomy code is 363LF0000X and license number is AP03906, license state is located at Louisiana. John Rivers Wilson APRN physically located at 2495 Shreveport Hwy, Pineville LA, 71360-4044. NPI Number John Rivers Wilson APRN has the Individual type.

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1386753713 NPI number is provided on an as is basis without warranty of any kind. 1386753713 is maintained by the National Plan & Provider Enumeration System. The contents of John Rivers Wilson APRN are for informational purposes only.