Individual
BEVERLY J. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC, AOCN
Contact information
Practice address
4321 WASHINGTON ST STE 4000, KANSAS CITY, MO 64111-5965
(816) 932-3300
(816) 932-5793
Mailing address
901 E 104TH ST, MAILSTOP 400N, KANSAS CITY, MO 64131
(816) 502-8752
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
102987
MO
163W00000X
Registered Nurse
14-76838-112
KS
363LA2200X
Adult Health Nurse Practitioner
10031168
OR
363LA2200X
Adult Health Nurse Practitioner
102987
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
46266
KS
Other
Enumeration date
02/09/2006
Last updated
08/29/2024
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