NPI 1619430907

Katelyn Jeanne Wilson, PMHNP

Practitioner Military Health Care Provider Albuquerque, NM

Practice location

Address: 1501 San Pedro Dr SE, Albuquerque, NM 87108-5153
Phone: (505) 846-3305
Mailing address: 1030 Highlands Plaza Dr E APT 202, Saint Louis, MO 63110-1344

Registered specialties

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X

Other Military Health Care Provider providers in New Mexico →

Registry record

NPI: 1619430907
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Apr 2019
Record last updated: 12 Apr 2019

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.