Individual
JOHN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
5400 S RAINBOW BLVD, LAS VEGAS, NV 89118-1859
(702) 853-3000
Mailing address
7644 RUSTIC GALLEON ST, LAS VEGAS, NV 89139-5416
(808) 277-0034
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
846432
NV
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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