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NPI Code Detail

MEDICARE: MRS. VICTORIA ANN WILSON RN

MEDICARE: MRS. VICTORIA ANN WILSON RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN 283336CA

General Provider Information

NPI Number : 1447329628
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VICTORIA ANN WILSON RN
Provider Business Mailing Address
First Line : 1691 THE ALAMEDA
Second Line :
City : SAN JOSE
State : CA
Zip : 95126-2203
Country : US
Telephone Number : 408-287-7532
Fax Number : 408-287-0405
Provider Business Practice Location Address
First Line : 650 N FULTON ST
Second Line :
City : FRESNO
State : CA
Zip : 93728-3404
Country : US
Telephone Number : 559-488-4900
Fax Number : 559-488-4999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2006
Last Update Date : 07/26/2007

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Directions to “ MRS. VICTORIA ANN WILSON RN” Practice Location

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