IndividualActive
Loretta Wilson, FNP
NPI 1780952580 · Nurse Practitioner · Van, TX
Provider details
- NPI number
- 1780952580
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- AP121117 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
488 W. Main Street
Ste 101
Van, TX 75790-2608
Phone: (903) 963-6850
Fax: (903) 509-5835
Approximate (ZIP-level) locationGet directions
Mailing address
488 W. Main Street
Van, TX 75790-2608
Registry dates
- Enumerated
- 2011-12-07
- Last updated
- 2022-03-25
- Certified
- 2022-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.