Individual
MS. KRISTY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
2973 SUNRIDGE RD, SCHERTZ, TX 78108-3049
(210) 274-3556
Mailing address
2973 SUNRIDGE RD, SCHERTZ, TX 78108-3049
(210) 274-3556
Taxonomy
Speciality
Code
Description
License number
State
364SH0200X
Home Health Clinical Nurse Specialist
Primary
210584
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25072265
—
TX
Enumeration date
03/24/2021
Last updated
03/24/2021
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