Individual
ANGELA NICOLLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
500 MEDICAL CENTER BLVD, WEBSTER, TX 77598-4220
(281) 218-9515
Mailing address
3206 REVERE ST APT 215, HOUSTON, TX 77098-2236
(713) 301-1105
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
643442
TX
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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