Individual
SARAH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1029 MEDICAL CENTER CIR, SUITE 306, MAYFIELD, KY 42066-1189
(270) 251-4575
(270) 251-4577
Mailing address
1029 MEDICAL CENTER CIR, MAYFIELD, KY 42066-1189
(270) 251-4575
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3008545
KY
363LF0000X
Family Nurse Practitioner
Primary
3008545
KY
Other
Enumeration date
02/23/2014
Last updated
08/23/2015
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