Individual
MYRENE CHRISTINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1801 E STATE ROUTE K, WEST PLAINS, MO 65775-6616
(417) 257-2454
(417) 256-1119
Mailing address
1801 E STATE ROUTE K, WEST PLAINS, MO 65775-6616
(417) 257-2454
(417) 256-1119
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A01747
AR
Other
Enumeration date
11/21/2006
Last updated
12/31/2014
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