MANDY CORINNE WILSON

MADISON, IN
NPI1033494794
Former NameMANDY CORINNE LEAHIGH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: IN  71003745A)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: IN  71003745A)
Enumeration Date2011-10-13
Last Update Date2024-11-12
Business Address
MANDY CORINNE WILSON APRN
1373 E STATE ROAD 62 # LEVEL3
MADISON, IN 47250-7328
Phone number: 812-801-0868
Mailing Address
MANDY CORINNE WILSON APRN
PO BOX 3395
EVANSVILLE, IN 47732-3395
Phone number: