Individual
MRS. BEVERLY ANNE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC-BSN
Contact information
Practice address
500 CROWN POINT CIR STE 120, GRASS VALLEY, CA 95945-9561
(530) 470-2542
Mailing address
500 CROWN POINT CIR STE 120, GRASS VALLEY, CA 95945-9561
(530) 470-2542
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
265267
CA
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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