Individual
AUDREY M WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5700 MEXICO RD STE 14, SAINT PETERS, MO 63376-1667
(636) 277-0371
(636) 447-4161
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.030186
IL
Other
Enumeration date
08/08/2024
Last updated
08/13/2025
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