Individual
MS. ELIZABETH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, FNP-C
Contact information
Practice address
1195 WAYNE ST, NOBLESVILLE, IN 46060-2134
(503) 754-1176
Mailing address
1195 WAYNE ST, NOBLESVILLE, IN 46060-2134
(503) 754-1176
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28197879A
IN
Other
Enumeration date
01/10/2016
Last updated
05/02/2021
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