Wilson, Debra L.

Wilson, Debra L. is an individual health care provider with primary practice located at 1444 Florida Ave Suite 202, Modesto CA 95350-4400. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wilson, Debra L. can be contacted via phone (209) 524-1264.

Contact Information

Primary practice address
1444 Florida Ave Suite 202 Modesto CA 95350-4400
Phone: (209) 524-1264
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 417934 California

Profile Details

NPI number 1689620882
LBN Legal business name Wilson, Debra L.
Credentials RNC, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 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 1689620882 NPPES
California Other 9866 NURSING FURNISHING #

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