Individual
BEVI WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7629 S STAPLES ST STE 106A, CORPUS CHRISTI, TX 78413
(361) 238-0015
(361) 888-2838
Mailing address
PO BOX 61160, CORPUS CHRISTI, TX 78466-1160
(361) 238-0015
(361) 371-8376
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1045569
TX
363LF0000X
Family Nurse Practitioner
Primary
1045569
TX
Other
Enumeration date
06/24/2021
Last updated
03/07/2024
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