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Individual

AMANDA WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-1000
Mailing address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 933-3388

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-143962
AL

Other

Enumeration date
02/05/2020
Last updated
02/05/2020
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