Individual provider · Type 1 NPI
Lara S. Wilson, AGNP-C
Adult Health Nurse Practitioner · Kansas City, MO
NPI number
1730573122
Active
Practice location
6675 Holmes Rd, Ste 550
Kansas City, MO 64131-1150
Mailing address
6119 Russell St
Mission, KS 66202-3220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 2008020256 (MO) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1730573122
Lara S. Wilson, AGNP-C's National Provider Identifier is 1730573122, issued on Mar 24, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Kansas City, MO. The record was last updated on Mar 24, 2015.