Individual
AMANDA KATHRYN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, CNOR
Contact information
Practice address
802 KENYON RD, FORT DODGE, IA 50501-5740
(515) 574-6546
Mailing address
1210 10TH AVE N, FORT DODGE, IA 50501-2702
(712) 661-8084
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
155993
IA
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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