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Andre Wilson

NPI 1962907964 · on the registry since 2018

Practice

Address
913 E Ogden Ave
Las Vegas, NV 89101
Phone
(702) 689-5015
Organisation at this address
Bre'S Loving Home Of Nevada, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
63

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Also registered as
372500000X
372600000X
3747A0650X
376J00000X
Sex
Male
Record last updated
2023-06-23

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 Nevada