Individual
SARAH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 CCI DR NW, HUNTSVILLE, AL 35805-2606
(256) 760-5422
Mailing address
PO BOX 18428, HUNTSVILLE, AL 35804-8428
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-145960
AL
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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