Individual
MRS. LYNNE ELLEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2300 WALES AVE NW, MASSILLON, OH 44646-2323
(330) 832-3188
(330) 832-9936
Mailing address
2300 WALES AVE NW, MASSILLON, OH 44646-2323
(330) 832-3188
(330) 832-9936
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
COA 16772-NP
OH
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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