Individual
MISS NATALIE MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(912) 980-4214
Mailing address
197 LEE ROAD 2207, SALEM, AL 36874-2591
(912) 980-4214
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN098006
LA
Other
Enumeration date
06/09/2006
Last updated
12/09/2021
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