Healthcare Provider Details

I. General information

NPI: 1932085560
Provider Name (Legal Business Name): NATALIE WILSON PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4901 FRANK HENGEL WAY
OAKLEY CA
94561-3712
US

IV. Provider business mailing address

4901 FRANK HENGEL WAY
OAKLEY CA
94561-3712
US

V. Phone/Fax

Practice location:
  • Phone: 925-625-6840
  • Fax: 925-625-6850
Mailing address:
  • Phone: 925-625-6840
  • Fax: 925-625-6850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: