Wyson, Maria Theresa Liceralde
Wyson, Maria Theresa Liceralde is an sole proprietor health care provider with primary practice located at 7811 Laguna Blvd Ste 161 , Elk Grove CA 95758-7949. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wyson, Maria Theresa Liceralde can be contacted via phone (916) 877-7778.Contact Information
Primary practice address
7811 Laguna Blvd Ste 161
Elk Grove CA 95758-7949
Phone: (916) 877-7778
Fax: (916) 896-1286
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 21360 | California |
Profile Details
| NPI number | 1861769648 |
|---|---|
| LBN Legal business name | Wyson, Maria Theresa Liceralde |
| Credentials | MSN, FNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2011 |
| Last updated | Mar 7th, 2023 - about last year |
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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