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Individual

AMY LYNN WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2405 WESTDALE DR SW, CEDAR RAPIDS, IA 52404-6330
(319) 939-4444
Mailing address
1107 WILSON CT, CEDAR RAPIDS, IA 52404-8802
(319) 939-4444

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A115900
IA
363LF0000X
Family Nurse Practitioner
Primary
A115900
IA

Other

Enumeration date
07/23/2014
Last updated
06/22/2023
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