Wilson, Tasha Marie

Wilson, Tasha Marie is an individual health care provider with primary practice located at 34800 Bob Wilson Dr , San Diego CA 92134-1098. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Neonatal Intensive Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wilson, Tasha Marie can be contacted via phone (619) 532-8910.

Contact Information

Primary practice address
34800 Bob Wilson Dr San Diego CA 92134-1098
Phone: (619) 532-8910
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neonatal Intensive Care 163WN0002X RN9305827 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11007850 Florida

Profile Details

NPI number 1396341459
LBN Legal business name Wilson, Tasha Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2020
Last updated Dec 4th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396341459 NPPES
Other 1110098576 DOD

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