Individual
DANIEL TODD WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
8899 CYPRESSGATE DR, DAYTON, OH 45424-6414
(937) 416-9969
Mailing address
8899 CYPRESSGATE DR, DAYTON, OH 45424-6414
(937) 416-9969
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0032862
OH
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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