Individual
HANNAH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
333 NW LARCH AVE, REDMOND, OR 97756-1186
(541) 382-2811
Mailing address
423 SW BLAKELY CT, BEND, OR 97702-2038
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10025822
OR
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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