Individual
CAROL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
7061 GRAND MONTECITO PKWY, LAS VEGAS, NV 89149-0287
(702) 877-5199
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
825541
NV
363L00000X
Nurse Practitioner
209012655
IL
363L00000X
Nurse Practitioner
Primary
825541
NV
363LA2200X
Adult Health Nurse Practitioner
209012655
IL
363LA2200X
Adult Health Nurse Practitioner
825541
NV
Other
Enumeration date
06/14/2011
Last updated
11/20/2024
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