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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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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