Individual
DAWN ELIZABETH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNS
Contact information
Practice address
1 VETERANS DR # 112, MINNEAPOLIS, MN 55417-2309
(612) 467-3599
(612) 725-1920
Mailing address
1 VETERANS DR # 112, MINNEAPOLIS, MN 55417-2309
(612) 467-3599
(612) 725-1920
Taxonomy
Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
R079224-0
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
253747-05
CLIN SPECIALIST CERTIFICA
MN
Enumeration date
09/22/2006
Last updated
07/08/2007
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