Individual
MRS. BETSY VANCE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
920 E 28TH ST, SUITE 620, MINNEAPOLIS, MN 55407-1139
(612) 863-7065
(612) 863-6515
Mailing address
3107 W OWASSO BLVD, ROSEVILLE, MN 55113-2167
(651) 415-0668
(612) 863-6515
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
R 110418-3
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R 110418-3
RN NURSING LISENSE
MN
Enumeration date
03/19/2007
Last updated
07/08/2007
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