Individual
AMELIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, APRN, FNP-C
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7850
Mailing address
245 N 1900 W, MAPLETON, UT 84664-3475
(801) 643-0415
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
7498242-3102
UT
363LF0000X
Family Nurse Practitioner
7498242-4405
UT
Other
Enumeration date
09/04/2024
Last updated
04/23/2025
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