Laura Renae Wilson MSN, APRN-BC

NPI 1104032218 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1104032218
Gender Female
Enumeration Date 05/15/2007
Last Updated 05/24/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
35 WARREN ST
ATLANTA GA, 30317, US
Phone (404) 588-0101
Fax
Business Location
3431 LANTERN VIEW LANE
SCOTTDALE GA, 30079, US
Phone (979) 393-8993
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Texas
License Number 701633
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According to our database, Mrs. Laura Renae Wilson MSN, APRN-BC NPI is 1104032218, taxonomy code is 363LF0000X and license number is 701633, license state is located at Texas. Laura Renae Wilson MSN, APRN-BC physically located at 35 Warren St, Atlanta GA, 30317. NPI Number Laura Renae Wilson MSN, APRN-BC has the Individual type.

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1104032218 NPI number is provided on an as is basis without warranty of any kind. 1104032218 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Renae Wilson MSN, APRN-BC are for informational purposes only.