person
Mrs. Susan Diane Wilson, FNP
Family Nurse Practitioner in Fort Leonard Wood, Missouri
NPI 1568552487

Susan Diane Wilson is a Family Nurse Practitioner based in Fort Leonard Wood, MO and is specialized in Family. Susan Diane Wilson practices in Fort Leonard Wood, MO and has the professional credentials of FNP. The NPI Number for Susan Diane Wilson is 1568552487 and holds a License No. 2002021223 (Missouri).

The current practice location address for Susan Diane Wilson is 126 Missouri Ave, Fort Leonard Wood, MO and can be reached out via phone at 573-596-0417 and via fax at 573-596-0524.

Location: 126 Missouri Ave, Fort Leonard Wood, MO, 65473-8952
person
Provider Profile Details
NPI Number
1568552487
Provider Name
Susan Diane Wilson
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
126 Missouri Ave, Fort Leonard Wood, MO, 65473-8952
Phone Number
573-596-0417
Fax Number
573-596-0524
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
126 Missouri Ave
City
State
Zip
65473-8952
Phone Number
573-596-0417
Fax Number
573-596-0524
person
Provider Business Mailing Address Details
Address
126 Missouri Ave
City
State
Zip
65473-8952
Phone Number
573-596-0417
Fax Number
573-596-0524
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2002021223 (Missouri)
Definition
Definition to come...
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