Wilson, Lisa Ruth

Wilson, Lisa Ruth is an individual health care provider with primary practice located at 324 W 5Th St , Washington MO 63090-2306. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Wilson, Lisa Ruth can be contacted via phone (636) 795-0342.

Contact Information

Primary practice address
324 W 5Th St Washington MO 63090-2306
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2014010130 Missouri

Profile Details

NPI number 1710307889
LBN Legal business name Wilson, Lisa Ruth
Credentials AGNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2014
Last updated Apr 16th, 2014 - about 11 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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