Individual
MARY MICHELLE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, ARNP, FNP-BC
Contact information
Practice address
1021 NEBRASKA ST, SIOUX CITY, IA 51104-5410
(712) 252-2247
(712) 252-5516
Mailing address
1021 NEBRASKA ST, SIOUX CITY, IA 51104-5410
(712) 252-2247
(712) 252-5516
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A-099445
IA
Other
Enumeration date
01/23/2007
Last updated
09/29/2011
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