IndividualActive
Amanda Wilson
NPI 1831795194 · General Practice Registered Nurse · Fort Rucker, AL
Provider details
- NPI number
- 1831795194
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1-109433 (AL)
Specialties & taxonomies
Nursing Service Providers
Practice location
Building 301 Andrews Avenue
Fort Rucker, AL 36362
Phone: (334) 255-7567
Approximate (ZIP-level) locationGet directions
Mailing address
Building 301 Andrews Avenue
Fort Rucker, AL 36362
Registry dates
- Enumerated
- 2020-12-10
- Last updated
- 2020-12-10
- Certified
- 2020-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.