Individual
BETHANNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
5208 E COUNTY ROAD 466, THE VILLAGES, FL 32162-9303
(407) 654-0568
Mailing address
2831 MAGUIRE RD, WINDERMERE, FL 34786-6057
(407) 654-0568
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11006329
FL
Other
Enumeration date
02/25/2020
Last updated
03/09/2023
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