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Individual

ERROL WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
81709 DR CARREON BLVD STE C5, INDIO, CA 92201-5577
(760) 342-4200
(760) 342-1600
Mailing address
81709 DR CARREON BLVD STE C5, INDIO, CA 92201-5577
(760) 342-4200
(760) 342-1600

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN500867
CA
363LC1500X
Community Health Nurse Practitioner
Primary
RN500867
CA
363LF0000X
Family Nurse Practitioner
NP11538
CA

Other

Enumeration date
08/21/2006
Last updated
03/07/2023
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