Individual
HEATHER JEAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
305 S WISE ST, PATON, IA 50217-7735
(515) 370-4438
Mailing address
305 S WISE ST, PATON, IA 50217-7735
(515) 370-4438
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
G156805
IA
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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