Individual
SUSAN LEANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP A-GNP-C
Contact information
Practice address
1801 HICKMAN RD, DES MOINES, IA 50314-1505
(515) 282-5695
(515) 282-7823
Mailing address
1513 S 3RD ST, INDIANOLA, IA 50125-9705
(515) 314-7498
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
H085003
IA
Other
Enumeration date
05/25/2017
Last updated
05/25/2017
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