Individual
GAIL RUTH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8 TH AVE C ST, SALT LAKE CITY, UT 84143-1001
(801) 408-3623
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 408-3623
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
215544-4405
UT
Other
Enumeration date
11/08/2006
Last updated
04/24/2019
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