Individual
MRS. EMILIA ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
242 BROADMOOR DR, RAYMORE, MO 64083-8642
(816) 803-0433
Mailing address
8009 E 155TH ST, BELTON, MO 64012-9520
(816) 803-0433
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2015019799
MO
Other
Enumeration date
03/15/2022
Last updated
11/04/2022
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