Individual
KATIE CHRISTINE WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN FNP
Contact information
Practice address
5264 COUNCIL ST NE, STE 100, CEDAR RAPIDS, IA 52402-2471
(319) 221-8444
Mailing address
5264 COUNCIL ST NE, STE 100, CEDAR RAPIDS, IA 52402-2471
(319) 221-8444
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
118250
IA
363LF0000X
Family Nurse Practitioner
R 201313-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
09/13/2011
Last updated
09/15/2015
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