Individual
HOLLY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
125 BUENA VISTA CIR, SOUTH HILL, VA 23970-1431
(434) 447-3151
Mailing address
PO BOX 34936, DEPT 4227, SEATTLE, WA 98124-1936
(888) 398-6618
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024093711
VA
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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