Individual
KATHRYN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNA
Contact information
Practice address
800 W 5TH AVE, SPOKANE, WA 99204
(509) 473-7672
Mailing address
12511 S SANDS RD, VALLEYFORD, WA 99036-8517
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN670525
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60824085
WA
Other
Enumeration date
09/18/2017
Last updated
05/31/2018
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