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Bernise Wilson
Family Nurse Practitioner in Cerritos, California
NPI 1194919456

Bernise Wilson is a Family Nurse Practitioner based in Long Beach, CA and is specialized in Family. Bernise Wilson practices in Cerritos, CA. The NPI Number for Bernise Wilson is 1194919456 and holds a License No. NP95003938 (California).

The current practice location address for Bernise Wilson is 12900 Park Plaza Dr, Cerritos, CA and can be reached out via phone at 866-646-3553.

Location: 12900 Park Plaza Dr, Cerritos, CA, 90815-0921
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194919456
Provider Name
Bernise Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
12900 Park Plaza Dr, Cerritos, CA, 90815-0921
Phone Number
866-646-3553
Fax Number
Provider Enumeration Date
08/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12900 Park Plaza Dr
City
Cerritos
State
California
Zip
90703-9329
Phone Number
866-646-3553
Fax Number
person
Provider Business Mailing Address Details
Address
12900 Park Plaza Dr
City
Cerritos
State
California
Zip
90703-9329
Phone Number
866-646-3553
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
NP95003938 (California)
Definition
Definition to come...
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