person
Lacey Kay Wilson, FNP
Family Nurse Practitioner in Pendleton, Oregon
NPI 1720455660

Lacey Kay Wilson is a Family Nurse Practitioner based in Pendleton, OR and is specialized in Family. Lacey Kay Wilson practices in Pendleton, OR and has the professional credentials of FNP. The NPI Number for Lacey Kay Wilson is 1720455660 and holds a License No. 201506113NP-PP (Oregon).

The current practice location address for Lacey Kay Wilson is 3001 St Anthony Way, Pendleton, OR and can be reached out via phone at 541-966-0535 and via fax at 541-278-4597. You can also correspond with Lacey Kay Wilson through the mailing address at 2801 ST ANTHONY WAY, PENDLETON, OR - 97801-3800 (mailing address contact number: 541-966-0535).

Location: 3001 St Anthony Way, Pendleton, OR, 97801-3800
person
Provider Profile Details
NPI Number
1720455660
Provider Name
Lacey Kay Wilson
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
3001 St Anthony Way, Pendleton, OR, 97801-3800
Phone Number
541-966-0535
Fax Number
541-278-4597
Provider Enumeration Date
08/26/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500717784 05 OR
institution
Provider Business Practice Location Address Details
Address
3001 St Anthony Way
City
State
Zip
97801
Phone Number
541-966-0535
Fax Number
541-278-4597
person
Provider Business Mailing Address Details
Address
2801 St Anthony Way
City
State
Zip
97801-3800
Phone Number
541-966-0535
Fax Number
541-278-4597
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
201506113NPPP (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
201506113NP-PP (Oregon)
Definition
Definition to come...
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