Individual
ERICA STARR WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2400 HARTMAN LN, SPRINGFIELD, OR 97477-1118
(541) 334-3350
Mailing address
2400 HARTMAN LN, SPRINGFIELD, OR 97477-1118
(541) 334-3350
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202011044NP
OR
363LF0000X
Family Nurse Practitioner
A160511
IA
Other
Enumeration date
08/31/2020
Last updated
10/26/2022
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