Individual
KRISTEN KAROL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1225 E BROADWAY RD, STE. 240, TEMPE, AZ 85282-1525
(480) 929-5100
(480) 731-1066
Mailing address
1225 E BROADWAY RD, STE. 240, TEMPE, AZ 85282-1525
(480) 929-5100
(480) 731-1066
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP2733
AZ
Other
Enumeration date
03/23/2008
Last updated
03/23/2008
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