Individual
CODY W. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CRNA
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8487
(614) 293-8153
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-8487
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN9537298
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0020682
OH
Other
Enumeration date
07/02/2021
Last updated
02/27/2023
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