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Eva Dominie Wilson
Gerontology Nurse Practitioner in Otsego, Minnesota
NPI 1063084127

Eva Dominie Wilson is a Gerontology Nurse Practitioner based in Otsego, MN and is specialized in Gerontology. Eva Dominie Wilson practices in Otsego, MN. The NPI Number for Eva Dominie Wilson is 1063084127 and holds a License No. 8244 (Minnesota).

The current practice location address for Eva Dominie Wilson is 8198 Palmgren Ave Ne, Otsego, MN and can be reached out via phone at 763-232-9877.

Location: 8198 Palmgren Ave Ne, Otsego, MN, 55330-7224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063084127
Provider Name
Eva Dominie Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
8198 Palmgren Ave Ne, Otsego, MN, 55330-7224
Phone Number
763-232-9877
Fax Number
Provider Enumeration Date
07/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8198 Palmgren Ave Ne
City
Otsego
State
Minnesota
Zip
55330-7224
Phone Number
763-232-9877
Fax Number
person
Provider Business Mailing Address Details
Address
8198 Palmgren Ave Ne
City
Otsego
State
Minnesota
Zip
55330-7224
Phone Number
763-232-9877
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
8244 (Minnesota)
Definition
Definition to come...
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