Individual provider · Type 1 NPI

Genevieve Bateau Wilson, PNP -PC, PNP-AC

Critical Care Pediatric Nurse Practitioner · Dallas, TX

NPI number 1720508682 Active

Practice location

7777 Forest Ln
Dallas, TX 75230-2571

Mailing address

1309 Shenandoah Dr
Mckinney, TX 75071-4671

Specialties and licenses

TaxonomyCodeLicense
Critical Care Pediatric Nurse Practitioner Primary 363LP0222XAP121638 (TX)

Critical Care Pediatric Nurse Practitioner: Definition to come...

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About NPI 1720508682

Genevieve Bateau Wilson, PNP -PC, PNP-AC's National Provider Identifier is 1720508682, issued on Jun 22, 2017. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Dallas, TX. The record was last updated on Jun 22, 2017.