Individual
ANNE E WILKINSON-FLIESLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CREDENTIALED SCHOOL
Contact information
Practice address
405 OLD SAN JOSE RD, SOQUEL, CA 95073-2213
(831) 429-3410
(831) 429-3450
Mailing address
408 HARBOR DR, SANTA CRUZ, CA 95062-2614
(831) 566-0041
(831) 429-3450
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
170056290
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170056290
CTC
CA
01
—
30799
CA BRN
CA
01
—
321813
CA BRN
CA
Enumeration date
06/28/2018
Last updated
06/28/2018
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