Individual
KAREN LOUISE WILSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
3939 7TH STREET RD, LOUISVILLE, KY 40216-4103
(502) 883-6800
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(502) 883-6800
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
3016183
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043608052
NPI
—
05
—
469208
—
AZ
Enumeration date
12/27/2014
Last updated
09/30/2021
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