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Individual

CYNTHIA NMN WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-C

Contact information

Practice address
1003 MEADOWLARK LN, EXCELSIOR SPRINGS, MO 64024-3304
(816) 630-3145
Mailing address
8911 N CAPITAL OF TEXAS HWY STE 110, BUILDING 1 SUITE 110, AUSTIN, TX 78759-7247
(877) 279-5960

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025002494
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
53-84487
KS

Other

Enumeration date
03/27/2025
Last updated
07/31/2025
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