Individual
HEATHER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
401 5TH AVE STE 1000, SEATTLE, WA 98104-1818
(206) 296-4755
Mailing address
401 5TH AVE STE 1000, SEATTLE, WA 98104-1818
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00040657
WA
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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