NPI 1023463890

Caitlin J Wilson, PAC

Practitioner Physician Assistant Davenport, IA

Practice location

Address: 1230 E Rusholme St Suite 150, Davenport, IA 52803-2452
Phone: (563) 421-3990
Fax: (563) 421-3999
Mailing address: 865 Lincoln Rd STE L10, Bettendorf, IA 52722-4159

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1131937 (IA)

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Registry record

NPI: 1023463890
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Apr 2016
Record last updated: 29 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.