Individual
CLIFFORD C WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
4341 TUDOR CENTRE DR STE 300, ANCHORAGE, AK 99508-5904
(907) 729-2500
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-9989
(907) 729-5180
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NURU1055
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0064
—
AK
Enumeration date
10/16/2008
Last updated
02/24/2025
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