Mary Alice Wilson in Santa Rosa - Registered Nurse
Mary Alice Wilson - NPI 1770637605
Mary Alice Wilson is a Registered Nurse in Santa Rosa, California. Mary Alice Wilson practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Mary Alice Wilson is 1770637605. The last update date is 2014-09-11.
Mary Alice Wilson's current location address is 3322 Chanate Rd, Santa Rosa, California. You can contact this provider via phone number 7075654815. The mailing address for Mary Alice Wilson is 3322 Chanate Rd, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Alice Wilson |
|---|---|
| Address | 3322 Chanate Rd, Santa Rosa, California |
| Phone Number | 7075654815 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1770637605 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2014-09-11 |
Provider Mailing Address Detail
| Address | 3322 Chanate Rd |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954041708 |
| Phone Number | 7075654815 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Registered Nurse |
|---|---|
| Taxonomy | 163W00000X |
| Licence No | 146190 |
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Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mary Alice Wilson by the Centers for Medicare & Medicaid Services?
The Mary Alice Wilson has been assigned the NPI (National Provider Identifier) 1770637605 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Mary Alice Wilson?
The Mary Alice Wilson is situated at 3322 Chanate Rd, in the city of Santa Rosa, state of CA, with the zip code 954041708.
What is the Mary Alice Wilson's specialty and taxonomy code?
The Mary Alice Wilson's specialty is Registered Nurse, and the corresponding taxonomy code is 163W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1770637605 to Mary Alice Wilson?
The Centers for Medicare & Medicaid Services originally issued the 1770637605 to Mary Alice Wilson on 2007-01-22.
When was the information related to Mary Alice Wilson most recently updated or refreshed?
The details pertaining to the Mary Alice Wilson, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-09-11.