Organization
UCD-SOM NEUROLOGICAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET M. WILSON RN, NP (NURSE PRACTITIONER)
(916) 734-3658
Entity
Organization
Contact information
Practice address
2315 STOCKTON BOULEVARD, SUITE 3740 ACC, SACRAMENTO, CA 95817-2201
(916) 734-3658
(916) 703-5368
Mailing address
4860 Y ST STE 3740, SACRAMENTO, CA 95817-2307
(916) 734-3658
(916) 703-5368
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
11306
CA
Other
Enumeration date
01/12/2007
Last updated
08/22/2020
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