person
Anastasia Desiree Wilson, APRN
Adult Health Nurse Practitioner in Russellville, Arkansas
NPI 1295209500

Anastasia Desiree Wilson is an Adult Health Nurse Practitioner based in Dover, AR and is specialized in Adult Health. Anastasia Desiree Wilson practices in Russellville, AR and has the professional credentials of APRN. The NPI Number for Anastasia Desiree Wilson is 1295209500 and holds a License No. A005985 (Arkansas).

The current practice location address for Anastasia Desiree Wilson is 900 W 12Th St, Russellville, AR and can be reached out via phone at 479-968-5858 and via fax at 479-890-6013. You can also correspond with Anastasia Desiree Wilson through the mailing address at 71 CRESTRIDGE DR, DOVER, AR - 72837-8716 (mailing address contact number: 479-831-9530).

Location: 900 W 12Th St, Russellville, AR, 72837-8716
person
Provider Profile Details
NPI Number
1295209500
Provider Name
Anastasia Desiree Wilson
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
900 W 12Th St, Russellville, AR, 72837-8716
Phone Number
479-968-5858
Fax Number
479-890-6013
Provider Enumeration Date
01/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
900 W 12Th St
City
State
Zip
72801-6606
Phone Number
479-968-5858
Fax Number
479-890-6013
person
Provider Business Mailing Address Details
Address
900 W 12Th St
City
State
Zip
72801-6606
Phone Number
479-968-5858
Fax Number
479-890-6013
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
A005985 (Arkansas)
Definition
Definition to come...
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