Individual
MRS. DONNA LOU WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(316) 268-8605
Mailing address
3804 N SULLIVAN RD, WICHITA, KS 67204-3514
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
74470
KS
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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