Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LORETTA EVE WILSON, FNP
ActiveLORETTA EVE WILSON, FNP is a Nurse Practitioner healthcare provider located in VAN, Texas. NPI 1780952580 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · VAN, TX
Registration Details
- NPI Number
- 1780952580
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 7, 2011 (14.689572781936 yrs)
- Last Updated
- Mar 25, 2022
- License
-
AP121117 (TX)
Practice Information
- Address
-
488 W. MAIN STREETSTE 101VAN, TX, 757902608Browse TX providers · Browse ZIP 75790
- Phone
- 9039636850
- Fax
- 9035095835
- Primary Specialty
-
Nurse Practitioner
363L00000X
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.