Individual
BRITTANY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
608 OLD ROUTE 66 # MO, SAINT ROBERT, MO 65584-3730
(573) 336-8990
Mailing address
19580 LYLE LN, WAYNESVILLE, MO 65583-3571
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2023044267
MO
Other
Enumeration date
11/02/2023
Last updated
11/07/2023
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