Individual
HEIDI EILEEN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ANP-C
Contact information
Practice address
6296 E GRANT RD STE 140, TUCSON, AZ 85712-5876
(520) 298-3321
(888) 978-2518
Mailing address
6296 E GRANT RD STE 140, TUCSON, AZ 85712-5876
(520) 298-3321
(702) 804-3655
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP1753
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
873134
—
AZ
Enumeration date
11/21/2006
Last updated
12/16/2019
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