Individual
MRS. NATASHA ANTOINETTE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
EMILE @ 42ND ST, OMAHA, NE 68198-2040
(402) 559-4015
(402) 559-5581
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
112288
NE
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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