Individual
MRS. TRACI MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
5080 E BILL FARR DR, TERRE HAUTE, IN 47803-9324
(812) 478-1825
(317) 988-5706
Mailing address
5080 E BILL FARR DR, TERRE HAUTE, IN 47803-9324
(812) 478-1825
(317) 988-5706
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
28193300A
IN
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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