Individual
AUDRA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3103 DIXIE HWY, HAMILTON, OH 45015-1653
(513) 892-4673
Mailing address
100 CROWNE POINT PL, CINCINNATI, OH 45241-5427
(513) 743-7628
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN.392404
OH
Other
Enumeration date
01/11/2017
Last updated
04/09/2025
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