DIXIE WILSON

PROVO, UT
NPI1689004004
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: UT  219591-4405)
Enumeration Date2013-11-21
Last Update Date2022-04-11
Business Address
DIXIE WILSON NP
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-373-7850
Mailing Address
DIXIE WILSON NP
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-836-4073