Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUDRA WILSON, MS, RDN
ActiveAUDRA WILSON, MS, RDN is a Obesity & Weight Management Nutrition healthcare provider located in GENEVA, Illinois. NPI 1073146874 is currently active in the NPPES registry. Verify at CMS.
Obesity & Weight Management Nutrition · GENEVA, IL
Registration Details
- NPI Number
- 1073146874
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 20, 2020 (6.4392682926903 yrs)
- Last Updated
- Feb 20, 2020
- License
-
164006665 (IL)
Practice Information
- Address
-
300 RANDALL RD STE 100GENEVA, IL, 601344200Browse IL providers · Browse ZIP 60134
- Phone
- 6309333513
- Primary Specialty
-
Obesity & Weight Management Nutrition
133VN1201X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.