Individual
MS. SUZANNE E. WILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.N.
Contact information
Practice address
902 FRANKLIN AVE, NORMAL, IL 61761-3510
(309) 888-5531
(309) 888-5530
Mailing address
902 FRANKLIN AVE, NORMAL, IL 61761-3510
(309) 888-5531
(309) 888-5530
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209.001962
IL
363LP2300X
Primary Care Nurse Practitioner
209.001962
IL
363LX0106X
Occupational Health Nurse Practitioner
209001962
IL
Other
Enumeration date
04/23/2007
Last updated
05/16/2012
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