MARY MICHELLE WILSON MSN, ARNP, FNP-BC
NPI 1093869380
Nurse Practitioner - Family in Sioux City, IA
Active since January 23, 2007
About Mary Michelle Wilson Msn, Arnp, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY MICHELLE WILSON MSN, ARNP, FNP-BC (NPI 1093869380) is an individual family provider in Sioux City, Iowa, licensed in Iowa (A-099445) and active in the NPI registry since January 2007.
NPPES Registry Identity
NPI1093869380
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY MICHELLE WILSONCredential: MSN, ARNP, FNP-BC
Location Address1021 NEBRASKA STSioux City, IA 51104-5410
Mailing Address1021 Nebraska StSioux City, IA 51104-5410 · (712) 252-2247 · Fax (712) 252-5516
Phone(712) 252-2247
Fax(712) 252-5516
Sole ProprietorYes
Enumeration DateJanuary 23, 2007
Last NPPES UpdateSeptember 29, 2011
✔ NPI 1093869380 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IA · A-099445
1021 NEBRASKA ST, Sioux City, IA 51104
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093869380, enumerated as an "individual" on January 23, 2007.
The provider is located at 1021 NEBRASKA ST SIOUX CITY, IA 51104 and the phone number is (712) 252-2247.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
