Individual
LYNN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 884-3448
Mailing address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 884-3448
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6181-33
WI
Other
Enumeration date
02/02/2015
Last updated
06/07/2016
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