Individual provider · Type 1 NPI
Matthew Todd Wilson, ACNS-BC, APN
Adult Health Clinical Nurse Specialist · Peoria, IL
NPI number
1295045425
Active
Practice location
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Fax (309) 655-7869
Mailing address
102 N 3rd St
Wyoming, IL 61491-1223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Clinical Nurse Specialist Primary | 364SA2200X | 209.008422 (IL) |
Adult Health Clinical Nurse Specialist: Definition to come...
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About NPI 1295045425
Matthew Todd Wilson, ACNS-BC, APN's National Provider Identifier is 1295045425, issued on Oct 21, 2010. The primary taxonomy on file is Adult Health Clinical Nurse Specialist (364SA2200X), and the practice location is in Peoria, IL. The record was last updated on Oct 21, 2010.