Individual
MARTHA JO WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2546 E 2ND ST STE 200, CASPER, WY 82609-2062
(307) 265-1110
(307) 265-1108
Mailing address
4140 CENTENNIAL HILLS BLVD STE A, CASPER, WY 82609-3265
(307) 265-7205
(307) 235-6262
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1741
WY
363LF0000X
Family Nurse Practitioner
1741
WY
Other
Enumeration date
04/03/2018
Last updated
03/06/2026
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