NPI 1710788013

Tanya Wilson

Practitioner Licensed Practical Nurse Independence, MO

Practice location

Address: 3205 N Twyman Rd, Independence, MO 64058-3212
Phone: (816) 708-0768
Mailing address: 5500 Ming Ave STE 265, Bakersfield, CA 93309-4696

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 2006039334 (MO)

Other Licensed Practical Nurse providers in Missouri →

Registry record

NPI: 1710788013
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Mar 2025
Record last updated: 22 Mar 2025

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.