Wilson, Katie

Wilson, Katie is an individual health care provider with primary practice located at 1900 E Main St , Danville IL 61832-5100. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Wilson, Katie can be contacted via phone (217) 554-4364.

Contact Information

Primary practice address
1900 E Main St Danville IL 61832-5100
Phone: (217) 554-4364
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 209.016522 Illinois

Profile Details

NPI number 1073031100
LBN Legal business name Wilson, Katie
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2017
Last updated Mar 5th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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