Individual
PATIENCE DAWN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4465 DARROW RD, STOW, OH 44224-1884
(330) 688-9918
(330) 688-4718
Mailing address
421 MYRTLE ST, RAVENNA, OH 44266-3224
(330) 401-5628
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.024627
OH
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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