Individual
ANDREA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1644 PROVIDENCE BLVD, CHRISTIANSBURG, VA 24073-7663
(540) 808-9057
Mailing address
1644 PROVIDENCE BLVD, CHRISTIANSBURG, VA 24073-7663
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024197660
VA
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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