Wilson, Heather

Wilson, Heather is an individual health care provider with primary practice located at 14850 Roscoe Blvd , Panorama City CA 91402-4618. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Wilson, Heather can be contacted via phone (323) 555-5555.

Contact Information

Primary practice address
14850 Roscoe Blvd Panorama City CA 91402-4618
Phone: (323) 555-5555
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X NA#2955 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2955 California

Profile Details

NPI number 1265478911
LBN Legal business name Wilson, Heather
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Apr 30th, 2019 - about 5 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 1265478911 NPPES
California Other NA0029550 BLUE SHIELD
California MEDICAID RN5669950 BLUE SHIELD
California Other P00021359 BLUE SHIELD
California Other RN5669950328 BLUE SHIELD

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