Wanda N Wilson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

535116 Issued in TX

Practice address

1650 Harvey LN
Denison, TX 75020-0674

Phone

(903) 465-1174

Fax

(903) 463-2769

NPI assigned

Feb 22, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619002565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 HARVEY LN",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750200674",
            "telephone_number": "903-465-1174",
            "fax_number": "903-463-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HARVEY LN",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750200674",
            "telephone_number": "903-465-1174",
            "fax_number": "903-463-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "WANDA",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "535116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glen Robert Willie, MD
• Debora Lynn Willis-Tenczar, R.PH.
• Guy W. Willis, D.D.S.
• Jacob Willis, NP
• Shelbi Lorene Wilson, DC
• Women'S Center of Sherman, P.a.
• Kathryn Woodruff, PA-C
• Olivia Hope Workman, PTA
• Tammy Renae Wortham, PTA
• Ashley Wray, LCSW

• Registered Nurse in Denison, TX
• Providers in Denison, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.