Lydia Kay Wilson is a Gerontology in Reseda, California. Lydia Kay Wilson practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Lydia Kay Wilson is 1093729824. The last update date is 2023-03-07.
Lydia Kay Wilson's current location address is 18855 Victory Blvd, Reseda, California. You can contact this provider via phone number 8187743354 and fax number 8187574401. The mailing address for Lydia Kay Wilson is 18855 Victory Blvd, Reseda, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lydia Kay Wilson |
|---|---|
| Address | 18855 Victory Blvd, Reseda, California |
| Phone Number | 8187743354 |
| Fax Number | 8187574401 |
| Sole Proprietor | N |
| Credentials | GNP |
NPI Number Detail
| NPI Number | 1093729824 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 18855 Victory Blvd |
|---|---|
| City | Reseda |
| State | California (CA) |
| Post Code | 913356445 |
| Phone Number | 8187743354 |
| Fax Number | 8187574401 |
Provider's Primary Taxonomy Detail
| Speciality | Gerontology |
|---|---|
| Taxonomy | 363Lg0600X |
| Licence No | 513626 |
|
Definition: An advanced practice registered nurse expert in providing care to older adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11725 | CA | N.P. FURNISHING | |
| 513626 | CA | STATE LICENSE # | |
| P00705925 | CA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Lydia Kay Wilson?
The Lydia Kay Wilson has been issued the NPI (National Provider Identifier) 1093729824 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Lydia Kay Wilson is geographically located?
The Lydia Kay Wilson is physically situated at the following location: 18855 Victory Blvd, Reseda, CA, 913356445.
What is Lydia Kay Wilson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lydia Kay Wilson's specialized field of practice is Gerontology, and the corresponding taxonomy code that categorizes this area of specialization is 363Lg0600X.
On what date did the Lydia Kay Wilson receive its 1093729824 assignment from the Centers for Medicare & Medicaid Services?
The Lydia Kay Wilson was assigned its 1093729824 by the Centers for Medicare & Medicaid Services on 2006-07-28.
As of what date were the details pertaining to Lydia Kay Wilson last refreshed?
The information related to the Lydia Kay Wilson, including its address, specialty, and other relevant details, was last updated on 2023-03-07.
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