person
Mark Wilson
Ambulatory Care Registered Nurse in Gallup, New Mexico
NPI 1902091937

Mark Wilson is an Ambulatory Care Registered Nurse based in Gallup, NM and is specialized in Ambulatory Care. Mark Wilson practices in Gallup, NM. The NPI Number for Mark Wilson is 1902091937 and holds a License No. R41887 (New Mexico).

The current practice location address for Mark Wilson is 516 Nizhoni Blvd, Gallup, NM and can be reached out via phone at 505-722-1000 and via fax at 505-722-1310.

Location: 516 Nizhoni Blvd, Gallup, NM, 87305-1337
person
Provider Profile Details
NPI Number
1902091937
Provider Name
Mark Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
516 Nizhoni Blvd, Gallup, NM, 87305-1337
Phone Number
505-722-1000
Fax Number
505-722-1310
Provider Enumeration Date
09/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
516 Nizhoni Blvd
City
State
Zip
87301-5748
Phone Number
505-722-1000
Fax Number
505-722-1310
person
Provider Business Mailing Address Details
Address
516 Nizhoni Blvd
City
State
Zip
87301-5748
Phone Number
505-722-1000
Fax Number
505-722-1310
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Ambulatory Care
Taxonomy
License No.
R41887 (New Mexico)
Definition
Definition to come...
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