Individual
SHERRY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 N DIVISION ST, AUBURN, WA 98001-4939
(253) 222-2222
Mailing address
202 N DIVISION ST, AUBURN, WA 98001-4939
(253) 222-2222
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60966090
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2019
Last updated
11/02/2019
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