Individual
ROY P WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
5847 SW 29TH ST, TOPEKA, KS 66614-2462
(785) 273-7292
(785) 746-0295
Mailing address
5847 SW 29TH ST, TOPEKA, KS 66614-2462
(785) 273-7292
(785) 746-0295
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-98315-032
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53-77013
KS
Other
Enumeration date
07/25/2007
Last updated
08/18/2022
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