Individual
ADRIENNE AMBER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5905 O ST, LINCOLN, NE 68510-2235
(402) 436-1000
Mailing address
4614 HUNTINGTON AVE, LINCOLN, NE 68504-3667
(402) 560-4457
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
65814
NE
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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