Individual
MRS. SUSAN ANN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
31501 N WESTLAND RD, PEORIA, AZ 85383-7846
(623) 773-6579
(623) 773-6580
Mailing address
11922 W VILLA CHULA CT, SUN CITY, AZ 85373-5420
(623) 383-3272
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
223536
AZ
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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