Individual provider · Type 1 NPI

Ruth Ann Wilson, NP

Nurse Practitioner · Lagrange, IN

NPI number 1457415705 Active

Practice location

207 N Townline Rd Ste 201
Lagrange, IN 46761-1325

Fax (260) 347-8435

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X71001034A (IN)
Nurse Practitioner Primary 363L00000X71001034A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1457415705

Ruth Ann Wilson, NP's National Provider Identifier is 1457415705, issued on Dec 21, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lagrange, IN. The record was last updated on Oct 17, 2022.