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Andre Wilson
Psychiatric/Mental Health Registered Nurse in Eureka, California
NPI 1013545805

Andre Wilson is a Psychiatric/Mental Health Registered Nurse based in Eureka, CA and is specialized in Psychiatric/Mental Health. Andre Wilson practices in Eureka, CA. The NPI Number for Andre Wilson is 1013545805 and holds a License No. 95213323 (California).

The current practice location address for Andre Wilson is 720 Wood St, Eureka, CA and can be reached out via phone at 707-268-2990.

Location: 720 Wood St, Eureka, CA, 95501-4413
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013545805
Provider Name
Andre Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
720 Wood St, Eureka, CA, 95501-4413
Phone Number
707-268-2990
Fax Number
Provider Enumeration Date
03/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
720 Wood St
City
Eureka
State
California
Zip
95501-4413
Phone Number
707-268-2990
Fax Number
person
Provider Business Mailing Address Details
Address
720 Wood St
City
Eureka
State
California
Zip
95501-4413
Phone Number
707-268-2990
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
95213323 (California)
Definition
Definition to come...
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