Individual
ANDREA LEIGH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1290 HIGHWAY 157 N, MANSFIELD, TX 76063-1538
(817) 473-0277
Mailing address
1104 WAYLAND DR, ARLINGTON, TX 76012-2041
(817) 548-0061
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
581634
TX
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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