Individual
MRS. LYNDA ELAYNE WILSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
113 COLORADO AVE, SUITE 105, AMES, IA 50014
(515) 292-4403
(515) 232-8930
Mailing address
113 COLORADO AVE, SUITE 105, AMES, IA 50014
(515) 292-4403
(515) 232-8930
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
061661
IA
Other
Enumeration date
12/06/2005
Last updated
07/08/2007
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