person
Maria Theresa Liceralde Wyson, MSN,FNP-C
Family Nurse Practitioner in Elk Grove, California
NPI 1861769648

Maria Theresa Liceralde Wyson is a Family Nurse Practitioner based in Gold River, CA and is specialized in Family. Maria Theresa Liceralde Wyson practices in Elk Grove, CA and has the professional credentials of MSN,FNP-C. The NPI Number for Maria Theresa Liceralde Wyson is 1861769648 and holds a License No. 21360 (California).

The current practice location address for Maria Theresa Liceralde Wyson is 7811 Laguna Blvd Ste 161, Elk Grove, CA and can be reached out via phone at 916-877-7778 and via fax at 916-896-1286.

Location: 7811 Laguna Blvd Ste 161, Elk Grove, CA, 95670-6233
person
Provider Profile Details
NPI Number
1861769648
Provider Name
Maria Theresa Liceralde Wyson
Credential
MSN,FNP-C
Provider Entity Type
Individual
Gender
Female
Address
7811 Laguna Blvd Ste 161, Elk Grove, CA, 95670-6233
Phone Number
916-877-7778
Fax Number
916-896-1286
Provider Enumeration Date
11/22/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7811 Laguna Blvd Ste 161
City
State
Zip
95758-7949
Phone Number
916-877-7778
Fax Number
916-896-1286
person
Provider Business Mailing Address Details
Address
7811 Laguna Blvd Ste 161
City
State
Zip
95758-7949
Phone Number
916-877-7778
Fax Number
916-896-1286
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
21360 (California)
Definition
Definition to come...
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