Individual
NATHAN ASHLEY WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGPCNP-BC
Contact information
Practice address
22331 MISSION BLVD, HAYWARD, CA 94541-3911
(510) 471-5907
Mailing address
22331 MISSION BLVD, HAYWARD, CA 94541-3911
(510) 471-5907
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95102324
CA
363LA2200X
Adult Health Nurse Practitioner
95009994
CA
363LG0600X
Gerontology Nurse Practitioner
95009994
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95009994
CA
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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