Individual
THERESA ANN WILP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1221 S BROADWAY, LEXINGTON, KY 40504
(859) 258-6101
(859) 258-4411
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6101
(859) 258-4411
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3007434
KY
363LF0000X
Family Nurse Practitioner
3007434
KY
Other
Enumeration date
05/21/2012
Last updated
04/02/2019
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