Individual
NANCY L WILSON
Active
Individual
NANCY L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1225
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040121002
PRIMEWEST
MN
05
—
12200
—
ND
05
—
1999862
—
IA
01
—
235562
ARAZ/ AMERICA'S PPO
SD
01
—
241638
MIDLANDS CHOICE
SD
01
—
30853
SANFORD HEALTH PLAN
SD
01
—
370624200
DEPT OF LABOR
SD
05
—
410862100
—
MN
01
—
412991012874
PREFERRED ONE
SD
05
—
46022474352
—
NE
01
—
478R1WI
CC SYSTEMS/ BLUE PLUS
MN
01
—
4994862
BLUE CROSS
SD
01
—
57108C029
WPS TRICARE
SD
05
—
7101810
—
SD
01
—
9217282
DAKOTACARE
SD
01
—
HP40082
HEALTHPARTNERS
SD
Enumeration date
02/07/2006
Last updated
12/11/2013
Update your record
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