Individual
AMANDA S WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12108 AUBURN CT, PICKERINGTON, OH 43147-8466
(614) 506-9720
Mailing address
12108 AUBURN CT, PICKERINGTON, OH 43147-8466
(614) 506-9720
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
159264
OH
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/05/2015
Last updated
10/09/2022
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