Individual provider · Type 1 NPI

Crystin Wilson

Student in an Organized Health Care Education/Training Program · Fayette, MO

NPI number 1114461555 Active

Practice location

411 Central Methodist Sq
Fayette, MO 65248-1104

Call (816) 500-6273 Map

Mailing address

403 S Sunrise Dr
Raymore, MO 64083-9292

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114461555

Crystin Wilson's National Provider Identifier is 1114461555, issued on Dec 4, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fayette, MO. The record was last updated on Dec 4, 2016.