Individual
BRIANNA JEAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, ARNP
Contact information
Practice address
708 E MORRIS ST, STE B, LA CONNER, WA 98257-9825
(360) 630-5141
(877) 850-2373
Mailing address
PO BOX 2104, LA CONNER, WA 98257-2104
(360) 630-5141
(866) 302-7491
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60404988
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083047369
—
WA
Enumeration date
08/09/2013
Last updated
01/15/2020
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