person
Ms. Lydia Kay Wilson, GNP
Gerontology Nurse Practitioner in Reseda, California
NPI 1093729824

Lydia Kay Wilson is a Gerontology Nurse Practitioner based in Northridge, CA and is specialized in Gerontology. Lydia Kay Wilson practices in Reseda, CA and has the professional credentials of GNP. The NPI Number for Lydia Kay Wilson is 1093729824 and holds a License No. 513626 (California).

The current practice location address for Lydia Kay Wilson is 18855 Victory Blvd, Reseda, CA and can be reached out via phone at 818-774-3354 and via fax at 818-757-4401.

Location: 18855 Victory Blvd, Reseda, CA, 91325-5408
person
Provider Profile Details
NPI Number
1093729824
Provider Name
Lydia Kay Wilson
Credential
GNP
Provider Entity Type
Individual
Gender
Female
Address
18855 Victory Blvd, Reseda, CA, 91325-5408
Phone Number
818-774-3354
Fax Number
818-757-4401
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11725 01 CA N.P. FURNISHING
513626 01 CA STATE LICENSE #
P00705925 01 CA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
18855 Victory Blvd
City
State
Zip
91335-6445
Phone Number
818-774-3354
Fax Number
818-757-4401
person
Provider Business Mailing Address Details
Address
18855 Victory Blvd
City
State
Zip
91335-6445
Phone Number
818-774-3354
Fax Number
818-757-4401
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
513626 (California)
Definition
Definition to come...
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