Individual
HEATHER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 W MAIN ST, WESTERVILLE, OH 43081
(614) 716-9919
Mailing address
PO BOX 353, PICKERINGTON, OH 43147-0353
(614) 499-4109
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN294789
OH
Other
Enumeration date
08/15/2018
Last updated
12/11/2018
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