Individual
KATHERINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
705 BANK ST NE, DECATUR, AL 35601-1609
(256) 274-4523
Mailing address
2704 BRANSFORD TRL SE, OWENS CROSS ROADS, AL 35763-8456
(256) 529-9600
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-130871
AL
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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