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Individual

MRS. NATASHA WILSON

Active
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Individual

MRS. NATASHA WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
21843
TN
363LP2300X
Primary Care Nurse Practitioner
6617-33
WI
363LP2300X
Primary Care Nurse Practitioner
Primary
APN0000021843
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
363LP2300X
WI
Enumeration date
09/03/2015
Last updated
10/03/2017
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