Individual
MRS. PATRICIA ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP- BC
Contact information
Practice address
SAINT LOUIS UNIVERSITY HOSPITAL SSM, 1201 S GRAND BLVD, SAINT LOUIS, MO 63104
(314) 977-1676
(314) 977-1617
Mailing address
1201 S GRAND BLVD, SAINT LOUIS, MO 63104-1016
(314) 977-1676
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2423-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033223854
—
MO
Enumeration date
08/18/2006
Last updated
02/08/2021
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