Most Relevant Information
Provider Data
| NPI Number: | 1003352378 |
| Provider Name: | AUDRA WILSON RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0808X |
| Specialty: | Registered Nurse |
| License Number: | RN.392404 |
Most Important Dates
| Enumeration Date: | 01/11/2017 |
| Last Updated: | 01/11/2017 |
Provider Practice Location
1659 S BREIEL BLVD
MIDDLETOWN
OH
450446705
Practice Location Phone/Fax
| Phone: | 5134240921 |
| Fax: |
Provider Mailing Location
30 PADDOCK LN
MONROE
OH
450502413
Provider Mailing Phone/Fax
| Phone: | 5135396469 |
| Fax: |