Tanya Wilson
NPI #1710788013 in Independence, Missouri
Provider Information
- NPI Number
- 1710788013
- Entity Type
- Individual
- Name
- Tanya Wilson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Mar 22, 2025
- Last Updated
- Mar 22, 2025
Practice Location
- Address
- 3205 N TWYMAN RD
- City
- Independence
- State
- Missouri
- ZIP Code
- 64058-3212
- Phone
- (816) 708-0768
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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