Individual
ANDREW STEVEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MSN, FNP-C
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 302-6869
(816) 855-1700
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2014039301
MO
363LF0000X
Family Nurse Practitioner
76633
KS
Other
Enumeration date
01/19/2015
Last updated
01/30/2015
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