Individual
DENISE A WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1209 NW NORTH RIDGE DR STE B, ANESTHESIA SERVICES OF BLUE SPRINGS, BLUE SPRINGS, MO 64015-6320
(816) 988-8415
(816) 988-8395
Mailing address
1209 NW NORTH RIDGE DR STE B, ANESTHESIA SERVICES OF BLUE SPRINGS, BLUE SPRINGS, MO 64015-6320
(816) 988-8415
(816) 988-8395
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
086797
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
913365326
—
MO
Enumeration date
09/24/2006
Last updated
01/22/2014
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