Heather Wilson

NPI #1417309642 in Berea, Kentucky

Provider Information

NPI Number
1417309642
Entity Type
Individual
Name
Heather Wilson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Enumeration Date
Jul 12, 2016
Last Updated
Jul 13, 2016

Practice Location

Address
104 LEGACY DR
City
Berea
ZIP Code
40403-9594
Phone
(859) 986-2323

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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