Individual
ANNALISE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 814, KILA, MT 59920-0814
(406) 261-2040
Mailing address
PO BOX 814, KILA, MT 59920-0814
(406) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
32227
MT
Other
Enumeration date
06/18/2026
Last updated
06/25/2026
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