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
Fax: (650) 421-2569
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366501181 NPPES
California Other 333263-7135 CA LICENSE

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