Individual
CAMERAN RACHELLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5896 S RIDGELINE DR STE B, SOUTH OGDEN, UT 84405-4928
(801) 866-0170
(801) 866-0169
Mailing address
1055 N 500 W, ATT: CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
191477-4405
UT
Other
Enumeration date
08/01/2019
Last updated
11/27/2023
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