Individual
ANDREA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FMP-C
Contact information
Practice address
740 KEYSER AVE, NATCHITOCHES, LA 71457-6037
(318) 238-5300
Mailing address
740 KEYSER AVE, NATCHITOCHES, LA 71457-6037
(318) 238-5000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
232359
LA
Other
Enumeration date
11/01/2023
Last updated
11/28/2023
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