Individual
KRISTIN NICOLE WILMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5000
Mailing address
1520 HIGHWAY W, FORISTELL, MO 63348-1071
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
083183-23
NH
367500000X
Certified Registered Nurse Anesthetist
2010026705
MO
Other
Enumeration date
04/15/2020
Last updated
12/17/2024
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