National Provider Identifier Database

TRACEY WILSON, RCFE – NPI #1538671359
Nursing Home Administrator

An individual, often licensed by the state, who is responsible for the management of a nursing home.


Contact Information

TRACEY WILSON, RCFE
639 S GREGORY ST
SAN DIEGO, CA92113-2617
Phone: 619-693-9080
Fax: 619-393-2177
Website:
Specialty Taxonomy Code
* Nursing Home Administrator 376G00000X

* Indicates primary specialty

NPI Profile & details for TRACEY WILSON

NPI Number 1538671359
Credentials RCFE
Entity Individual
Enumeration date 11/02/2017
Last updated 11/02/2017 - About 9 years ago
Sole proprietor1 No
Identifiers
  • CA License #: 6029334740
  • CA Other: 6029334740 RCFE ADMINISTRATOR CERTIFICATION
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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