Individual
MS. ANNA MARIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ACNP
Contact information
Practice address
12810 HEACOCK ST, SUITE B201, MORENO VALLEY, CA 92553-2854
(951) 601-2363
(951) 601-2316
Mailing address
12810 HEACOCK ST, SUITE B201, MORENO VALLEY, CA 92553-2854
(951) 601-2363
(951) 601-2316
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
459195
CA
Other
Enumeration date
07/11/2006
Last updated
07/17/2014
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