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Lisa Ruth Wilson, AGNP
Adult Health Nurse Practitioner in Washington, Missouri
NPI 1710307889

Lisa Ruth Wilson is an Adult Health Nurse Practitioner based in Warrenton, MO and is specialized in Adult Health. Lisa Ruth Wilson practices in Washington, MO and has the professional credentials of AGNP. The NPI Number for Lisa Ruth Wilson is 1710307889 and holds a License No. 2014010130 (Missouri).

The current practice location address for Lisa Ruth Wilson is 324 W 5Th St, Washington, MO and can be reached out via phone at 636-795-0342.

Location: 324 W 5Th St, Washington, MO, 63383-5883
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710307889
Provider Name
Lisa Ruth Wilson
Credential
AGNP
Provider Entity Type
Individual
Gender
Female
Address
324 W 5Th St, Washington, MO, 63383-5883
Phone Number
636-795-0342
Fax Number
Provider Enumeration Date
04/16/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
324 W 5Th St
City
Washington
State
Missouri
Zip
63090-2306
Phone Number
636-795-0342
Fax Number
person
Provider Business Mailing Address Details
Address
324 W 5Th St
City
Washington
State
Missouri
Zip
63090-2306
Phone Number
636-795-0342
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
2014010130 (Missouri)
Definition
Definition to come...
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