NPI Profile for SALLY WILSON in CULVER CITY, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Women's Health Care, Ambulatory |
163WW0101X |
| NPI # | 1255673893 |
|
| Status | Active | |
| Credentials | FNP (Family Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 03/21/2013 | |
| Last updated | 03/21/2013 - About 13 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SALLY WILSON
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