Individual provider · Type 1 NPI

Amanda Wilson, LMP

Specialist · Bonney Lake, WA

NPI number 1043341589 Active

Practice location

19950 S Prairie Rd E
Bonney Lake, WA 98391-7901

Call (253) 862-1555 Map

Fax (253) 862-1557

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA00022187 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1043341589

Amanda Wilson, LMP's National Provider Identifier is 1043341589, issued on Mar 8, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bonney Lake, WA. The record was last updated on Jan 3, 2012.