Individual
KATHLEEN MARIE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
2754 COMPASS DR STE 377, GRAND JUNCTION, CO 81506-8723
(970) 257-2384
(970) 257-2401
Mailing address
2336 S RIM DR, GRAND JUNCTION, CO 81507-1432
(970) 216-5795
(855) 820-1836
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
APN.0992757-NP
CO
363LP2300X
Primary Care Nurse Practitioner
Primary
APN-0992757-NP
CO
Other
Enumeration date
12/19/2016
Last updated
06/20/2023
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