Individual
NANCY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
6411 N ROBERT RD RM 416, PRESCOTT VALLEY, AZ 86314-9146
(928) 759-4042
(928) 759-4030
Mailing address
6411 N ROBERT RD RM 416, PRESCOTT VALLEY, AZ 86314-9146
(928) 759-4042
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN053356
AZ
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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