Individual
REBECCA J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
517 E NIZHONI BLVD, GALLUP, NM 87301-5757
(505) 722-6603
(505) 722-6111
Mailing address
27 CALLE DEL ARROYO, SANTA FE, NM 87507-4376
(505) 670-5763
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
54019
NM
Other
Enumeration date
10/01/2018
Last updated
07/09/2026
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