Individual
MS. CHLOE MAE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3901 SPICEWOOD SPRINGS RD STE 201, AUSTIN, TX 78759-8723
(737) 226-6700
Mailing address
18120 GANTRY DR, PFLUGERVILLE, TX 78660-5198
(512) 424-9358
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1075857
TX
363LG0600X
Gerontology Nurse Practitioner
1075857
TX
Other
Enumeration date
05/02/2022
Last updated
07/22/2022
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