Individual
ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE SCH
Contact information
Practice address
8204 CROWN POINT AVE, OMAHA, NE 68134-1922
(402) 557-3515
(402) 557-3539
Mailing address
8204 CROWN POINT AVE, OMAHA, NE 68134-1999
(402) 557-3515
(402) 557-3539
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
30400
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30400
—
NE
Enumeration date
09/08/2018
Last updated
09/08/2018
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