Loretta Eve Wilson, FNP

NPI #1780952580 in Van, Texas

Provider Information

NPI Number: 1780952580
Entity Type: Individual
Name: Loretta Eve Wilson, FNP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: FNP
Enumeration Date: Dec 7, 2011
Last Updated: Mar 25, 2022

Practice Location

Address: 488 W. MAIN STREET
Address 2: STE 101
City: Van
State: Texas
ZIP Code: 75790-2608
Phone: (903) 963-6850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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