Wilcox, Andrea Marie
Wilcox, Andrea Marie is an individual health care provider with primary practice located at 678 Main St , Redwood City CA 94063-1922. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Wilcox, Andrea Marie can be contacted via phone (650) 421-2562.Contact Information
Primary practice address
678 Main St
Redwood City CA 94063-1922
Phone: (650) 421-2562
Fax: (650) 421-2569
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 3332637135 | California |
Profile Details
NPI number | 1366501181 |
---|---|
LBN Legal business name | Wilcox, Andrea Marie |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 7th, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366501181 | NPPES |
California | Other | 333263-7135 | CA LICENSE |
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