Kourtney Lynn Wilson NP

NPI 1780824912 - Nurse Practitioner - 363LX0001X

NPI Details
NPI 1780824912
Gender Female
Enumeration Date 02/27/2009
Last Updated 02/27/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
2702 LOW CT
FAIRFIELD CA, 94534-9771, US
Phone (707) 427-4900
Fax (707) 432-2800
Business Location
2702 LOW CT
FAIRFIELD CA, 94534-9771, US
Phone (707) 427-4900
Fax (707) 432-2800
Toxanomy
Taxonomy Code 363LX0001X
License State California
License Number NP18844
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According to our database, Kourtney Lynn Wilson NP NPI is 1780824912, taxonomy code is 363LX0001X and license number is NP18844, license state is located at California. Kourtney Lynn Wilson NP physically located at 2702 Low Ct, Fairfield CA, 94534-9771. NPI Number Kourtney Lynn Wilson NP has the Individual type.

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1780824912 NPI number is provided on an as is basis without warranty of any kind. 1780824912 is maintained by the National Plan & Provider Enumeration System. The contents of Kourtney Lynn Wilson NP are for informational purposes only.