Individual
KATHARINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, WHNP-BC
Contact information
Practice address
1231 CANDELARIA RD NW, ALBUQUERQUE, NM 87107
(505) 272-2158
(505) 272-8053
Mailing address
933 BRADBURY DR SE, ALBUQUERQUE, NM 87106-4374
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R217057
MD
163W00000X
Registered Nurse
RN-84082
NM
163W00000X
Registered Nurse
RN2279657
MA
363LW0102X
Women's Health Nurse Practitioner
Primary
CNP-03163
NM
Other
Enumeration date
02/23/2017
Last updated
07/17/2023
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