Individual
MARY ELLEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS-BC
Contact information
Practice address
3350 EXECUTIVE DR, SUITE 100, SAN ANGELO, TX 76904-6878
(325) 245-4501
(325) 245-4508
Mailing address
3350 EXECUTIVE DR, SUITE 100, SAN ANGELO, TX 76904-6878
(325) 245-4501
(325) 245-4508
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
697182
TX
Other
Enumeration date
05/06/2009
Last updated
04/17/2014
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