Individual
ANNALEE MARTHA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6001 N MAYFAIR ST, SPOKANE, WA 99208-1129
(855) 229-8012
(509) 462-2275
Mailing address
5428 E BRIDGEPORT CT, SPOKANE, WA 99217-7867
(509) 981-3726
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60249014
WA
363L00000X
Nurse Practitioner
NP-1128A
ID
363LF0000X
Family Nurse Practitioner
23519
ID
Other
Enumeration date
10/13/2011
Last updated
11/18/2024
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