Individual provider · NPI-1

Sandra Owen Wilson, RN

Registered Nurse, Hospice · Stafford, TX

NPI number1205678307
StatusActive
Last updated in NPPESJun 10, 2024

Details

NPI
1205678307
Entity type
Individual (NPI-1)
Name
Ms. Sandra Owen Wilson
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Jun 10, 2024
Certification date
Jun 10, 2024
Last updated
Jun 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WH1000X Registered Nurse, Hospice691614TXYes

Practice location

10707 Corporate Dr Ste 250-120
Stafford, TX 77477-4095

Phone 346-901-1362

Mailing address

Po Box 761
Missouri City, TX 77459-0761

Phone 346-901-1362

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