Individual
REBECCA J WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
455 SAINT MICHAELS DR, SANTA FE, NM 87505-7601
(505) 670-5763
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
01/21/2026
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