Wilson, Elizabeth A

Wilson, Elizabeth A is an individual health care provider with primary practice located at 151 Briar Ridge Dr , San Jose CA 95123-2662. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Wilson, Elizabeth A can be contacted via phone (408) 224-0667.

Contact Information

Primary practice address
151 Briar Ridge Dr San Jose CA 95123-2662
Phone: (408) 224-0667
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Emergency 364SE0003X 611537 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 202004196 Missouri

Profile Details

NPI number 1972787711
LBN Legal business name Wilson, Elizabeth A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2007
Last updated Mar 23rd, 2022 - about 2 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 1972787711 NPPES
Missouri MEDICAID 420087056

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