Mary Wilson, | |
704 W Historic Rt. 66, Waynesville, MO 65583 | |
(573) 774-3121 | |
(573) 774-2235 |
Full Name | Mary Wilson |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 704 W Historic Rt. 66, Waynesville, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336689439 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 2002021037 (Missouri) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mary Wilson, 704 W Historic Rt. 66, Waynesville, MO 65459 Ph: (573) 774-3121 | Mary Wilson, 704 W Historic Rt. 66, Waynesville, MO 65583 Ph: (573) 774-3121 |
Johnna Pitts, 2017002215 Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 704 Route 66 W Ste 200, Waynesville, MO 65583 Phone: 573-774-3121 Fax: 573-744-2235 | |
Nathasia Dorsey, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 20970 Lynwood Rd, Waynesville, MO 65583 Phone: 573-596-0131 |