Individual
MRS. AMANDA LYNN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
793 W STATE ST, MT CARMEL WEST, COLUMBUS, OH 43222
(614) 234-5190
Mailing address
6091 CARMELL DR, COLUMBUS, OH 43228
(614) 922-0695
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN300822
OH
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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