Individual
MRS. ANDREA MARIE WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
678 MAIN ST, REDWOOD CITY, CA 94063-1922
(650) 421-2562
(650) 421-2569
Mailing address
678 MAIN ST, REDWOOD CITY, CA 94063-1922
(650) 421-2562
(650) 421-2569
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3332637135
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
333263-7135
CA LICENSE
CA
Enumeration date
12/07/2006
Last updated
07/08/2007
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