Patrick M Wilson APRN-C

NPI 1235295031 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1235295031
Gender Male
Enumeration Date 12/28/2006
Last Updated 12/18/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
4101 4TH STREET TRAFFICWAY
VETERAN'S ADMINISTRATION
LEAVENWORTH KS, 66048, US
Phone (913) 682-2000
Fax
Business Location
4101 4TH STREET TRAFFICWAY
VETERAN'S ADMINISTRATION
LEAVENWORTH KS, 66048, US
Phone (913) 682-2000
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State Kansas
License Number 53-76151-012
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According to our database, Patrick M Wilson APRN-C NPI is 1235295031, taxonomy code is 363LA2200X and license number is 53-76151-012, license state is located at Kansas. Patrick M Wilson APRN-C physically located at 4101 4th Street Trafficway, Leavenworth KS, 66048. NPI Number Patrick M Wilson APRN-C has the Individual type.

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1235295031 NPI number is provided on an as is basis without warranty of any kind. 1235295031 is maintained by the National Plan & Provider Enumeration System. The contents of Patrick M Wilson APRN-C are for informational purposes only.