National Provider Identifier Database

SHALENA DAVIS WILSON
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

SHALENA DAVIS WILSON
2663 SPRINGS RD STE 119
VALLEJO, CA94591-5712
Phone: 510-274-0223
Fax:
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X

* Indicates primary specialty

NPI Profile & details for SHALENA DAVIS WILSON

NPI Number 1275471245
Credentials
Entity Individual
Enumeration date 03/23/2026
Last updated 03/23/2026 - About 2 months ago
Sole proprietor1 No
Identifiers n/a
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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