Scott Wilson

NPI #1932858008 in Peoria, Illinois

Provider Information

NPI Number: 1932858008
Entity Type: Individual
Name: Scott Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Enumeration Date: Mar 23, 2022
Last Updated: Mar 23, 2022

Practice Location

Address: 900 MAIN ST STE 600
City: Peoria
State: Illinois
ZIP Code: 61602-5025
Phone: (309) 672-4670

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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