Individual
ERIN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
(214) 687-0498
Mailing address
1609 RED CEDAR DR APT 3, FORT MYERS, FL 33907-7615
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1143602
KY
163W00000X
Registered Nurse
Primary
169210
TN
367500000X
Certified Registered Nurse Anesthetist
3009533
KY
Other
Enumeration date
04/01/2015
Last updated
07/08/2015
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