Search › Arkansas › 171W00000X
Shawn Wilson
NPI 1598141525 · on the registry since 2015 · sole proprietor
Practice
- Address
- 880 W Eden Cir
Fayetteville, AR 72701 - Phone
- (479) 445-2781
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-07-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas