Carlie Jeanette Wilkerson in Santa Rosa - Surgical
Carlie Jeanette Wilkerson - NPI 1376748095
Carlie Jeanette Wilkerson is a Surgical in Santa Rosa, California. Carlie Jeanette Wilkerson practices all healthcare services and medical treatments related to Surgical. The NPI Number for Carlie Jeanette Wilkerson is 1376748095. The last update date is 2021-12-30.
Carlie Jeanette Wilkerson's current location address is 990 Sonoma Ave Ste 20, Santa Rosa, California. You can contact this provider via phone number 7075250696 and fax number 7075258404. The mailing address for Carlie Jeanette Wilkerson is 990 Sonoma Ave Ste 20, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carlie Jeanette Wilkerson |
|---|---|
| Address | 990 Sonoma Ave Ste 20, Santa Rosa, California |
| Phone Number | 7075250696 |
| Fax Number | 7075258404 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1376748095 |
|---|---|
| Provider Enumeration Date | 2007-06-21 |
| Last Updated Date | 2021-12-30 |
Provider Mailing Address Detail
| Address | 990 Sonoma Ave Ste 20 |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954044813 |
| Phone Number | 7075250696 |
| Fax Number | 7075258404 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA19226 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Post Comment/ Review Below
What is the unique identifier code issued to Carlie Jeanette Wilkerson by the Centers for Medicare & Medicaid Services?
The Carlie Jeanette Wilkerson has been assigned the NPI (National Provider Identifier) 1376748095. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Carlie Jeanette Wilkerson's physical address?
The Carlie Jeanette Wilkerson is physically located at 990 Sonoma Ave Ste 20, in the city of Santa Rosa, CA, with the postal code 954044813.
What is Carlie Jeanette Wilkerson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Carlie Jeanette Wilkerson is Surgical, and the taxonomy classification code that categorizes this area of expertise is 363As0400X.
When did the Carlie Jeanette Wilkerson receive its 1376748095?
The Carlie Jeanette Wilkerson was issued its 1376748095 on 2007-06-21, which is the date when the organization was assigned this unique identifier.
When was the information related to Carlie Jeanette Wilkerson most recently updated or refreshed?
The details pertaining to the Carlie Jeanette Wilkerson, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-12-30.