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Theresa Wilson
Family Nurse Practitioner in San Clemente, California
NPI 1760631592

Theresa Wilson is a Family Nurse Practitioner based in Woonsocket, CA and is specialized in Family. Theresa Wilson practices in San Clemente, CA. The NPI Number for Theresa Wilson is 1760631592 and holds a License No. 8242 (California).

The current practice location address for Theresa Wilson is 638 Camino De Los Mares Ste D, San Clemente, CA and can be reached out via phone at 866-389-2727.

Location: 638 Camino De Los Mares Ste D, San Clemente, CA, 02895
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760631592
Provider Name
Theresa Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
638 Camino De Los Mares Ste D, San Clemente, CA, 02895
Phone Number
866-389-2727
Fax Number
Provider Enumeration Date
09/17/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
638 Camino De Los Mares Ste D
City
San Clemente
State
California
Zip
92673
Phone Number
866-389-2727
Fax Number
person
Provider Business Mailing Address Details
Address
638 Camino De Los Mares Ste D
City
San Clemente
State
California
Zip
92673
Phone Number
866-389-2727
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
8242 (California)
Definition
Definition to come...
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