Individual
BREANN NICHOLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1100 W MALLON AVE, SPOKANE, WA 99260-2043
(509) 477-2278
Mailing address
3011 S ARTHUR ST, SPOKANE, WA 99203-3173
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61194174
WA
Other
Enumeration date
08/17/2021
Last updated
08/19/2021
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