Individual
DANA M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
5844 NW BARRY RD STE 230, KANSAS CITY, MO 64154-1421
(816) 931-1883
Mailing address
901 E 104TH ST, MAILSTOP 400S, KANSAS CITY, MO 64131
(816) 931-1883
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2024010420
MO
363LA2100X
Acute Care Nurse Practitioner
5383091
KS
Other
Enumeration date
03/18/2024
Last updated
04/19/2024
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