Individual
SUZANNA KAY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGACNP-BC
Contact information
Practice address
4370 W 109TH ST STE 350, OVERLAND PARK, KS 66211-1370
(816) 941-0800
Mailing address
1803 GATES DR W, PLATTE CITY, MO 64079-7507
(816) 446-9897
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2023004370
MO
363L00000X
Nurse Practitioner
Primary
5382279081
KS
Other
Enumeration date
04/26/2023
Last updated
10/10/2023
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