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Individual

ELENA WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
6201 OAK CYN STE 150, IRVINE, CA 92618-5230
(949) 508-1656
Mailing address
5124 PIN OAK TRL, NORTHPORT, AL 35473-1223
(205) 454-9940

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-077287
AL

Other

Enumeration date
06/18/2021
Last updated
06/18/2021
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