JUANITA WILSON, ANP

Contractor

Active Individual
NPI: 1275818163

Practice Address

11155 DUNN RD
Saint Louis, MO 63136

Phone: (314) 741-1400

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes 2010016002 (MO)

Frequently Asked Questions

NPI 1275818163 is the National Provider Identifier for JUANITA WILSON, ANP, a Contractor provider located in Saint Louis, MO. This NPI was enumerated on October 12, 2011.
JUANITA WILSON, ANP practices at 11155 DUNN RD, Saint Louis, MO 63136.

Quick Facts

NPI
1275818163
Type
Individual
Enumerated
Oct 12, 2011
Last Updated
Oct 12, 2011

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