Eva Dominie Wilson
Eva Dominie Wilson is a Nurse Practitioner in Minneapolis, Minnesota. Qualified in 2022, 4 years ago. Practices with Geriatric Services of Minnesota LLC, a 43-clinician group and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 4
- Licensed in
- MN
- In the registry since
- 2021
Practice location Address checks out
3433 Broadway St NE Ste 300Minneapolis, MN 55413-1761
Phone: (763) 587-7737
Fax: (763) 587-7069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X · Licence 8244 (MN) |
|---|
Record details
| NPI number | 1063084127 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 16, 2021 |
| Last updated in NPPES | May 21, 2024 |
| Certification date | May 21, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Geriatric Services Of Minnesota Llc — 43 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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