Individual
ANDREA LYNN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
207 BROAD ST, WICHITA FALLS, TX 76301-2219
(940) 500-4903
Mailing address
702 S SOUTHLAND AVE, ELECTRA, TX 76360-2900
(940) 882-4087
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
205166
TX
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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