Individual
MS. VENESSA MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1528 US HIGHWAY 395 N STE 100, GARDNERVILLE, NV 89410-5226
(775) 782-3671
(775) 782-6639
Mailing address
1528 US HIGHWAY 395 N STE 100, GARDNERVILLE, NV 89410-5226
(775) 782-3671
(775) 782-6639
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN76133
NV
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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