Wilson, Mary A.

Wilson, Mary A. is an individual health care provider with primary practice located at 10841 White Oak Ave , Rancho Cucamonga CA 91730-3817. 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, Mary A. can be contacted via phone (909) 581-6400.

Contact Information

Primary practice address
10841 White Oak Ave Rancho Cucamonga CA 91730-3817
Phone: (909) 581-6400
Fax: (909) 581-6418
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X NA 2575 California

Profile Details

NPI number 1770599615
LBN Legal business name Wilson, Mary A.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Dec 2nd, 2021 - about 4 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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