ANASTASIA DESIREE WILSON

RUSSELLVILLE, AR
NPI1295209500
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: AR  A005985)
Enumeration Date2019-01-20
Last Update Date2021-10-15
Business Address
ANASTASIA DESIREE WILSON APRN
900 W 12TH ST
RUSSELLVILLE, AR 72801-6606
Phone number: 479-968-5858
Mailing Address
ANASTASIA DESIREE WILSON APRN
71 CRESTRIDGE DR
DOVER, AR 72837-8716
Phone number: 479-831-9530
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