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Individual

KRISTIE L WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSN, CPNP

Contact information

Practice address
15930 S GREAT OAKS DR, ROUND ROCK, TX 78681-5800
(512) 255-8868
(512) 255-8869
Mailing address
15930 S GREAT OAKS DR, ROUND ROCK, TX 78681-5800
(512) 255-8868
(512) 255-8869

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
689938
TX

Other

Enumeration date
10/05/2009
Last updated
10/05/2009
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