Individual
MRS. VANESSA MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 COMMON ST STE 600, NEW ORLEANS, LA 70112-2489
(504) 568-3130
(504) 568-6647
Mailing address
1010 COMMON ST STE 600, NEW ORLEANS, LA 70112-2489
(504) 568-3130
(504) 568-6647
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN068626
LA
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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