Individual provider · Type 1 NPI
Amanda Wilson, RN
Nutrition Support Registered Nurse · Fayetteville, AR
NPI number
1962246207
Active
Practice location
229 N Block Ave
Fayetteville, AR 72701-5204
Mailing address
3610 N Tower Cir
Fayetteville, AR 72704-7402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | None listed |
| Nutrition Support Registered Nurse Primary | 163WN1003X | R090453 (AR) |
Nutrition Support Registered Nurse: Definition to come...
2 other providers at this address
About NPI 1962246207
Amanda Wilson, RN's National Provider Identifier is 1962246207, issued on Jun 21, 2024. The primary taxonomy on file is Nutrition Support Registered Nurse (163WN1003X), and the practice location is in Fayetteville, AR. The record was last updated on Jun 21, 2024.