Individual
AMY M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29805 PACIFIC HWY S, FEDERAL WAY, WA 98003-4233
(760) 464-9781
Mailing address
901 2ND AVE NW, PUYALLUP, WA 98371-5583
(760) 464-9781
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
61282453
WA
163WE0003X
Emergency Registered Nurse
720032
CA
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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