Individual
CORTNEY WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3512 STELLHORN RD, FORT WAYNE, IN 46815
(260) 483-9081
(260) 483-9196
Mailing address
PO BOX 392552 STE 320, PITTSBURGH, PA 15251-9552
(260) 483-9081
(260) 483-9196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71009533A
IN
363LF0000X
Family Nurse Practitioner
95005107
CA
Other
Enumeration date
11/16/2016
Last updated
11/05/2019
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