Individual provider · Type 1 NPI

Andre Wilson

Psychiatric/Mental Health Registered Nurse · Eureka, CA

NPI number 1013545805 Active

Practice location

720 Wood St
Eureka, CA 95501-4413

Other practice locations

  • 1045 9th Ave, San Diego, CA 92101-5504 · (619) 235-2600

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X95213323 (CA)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1013545805

Andre Wilson's National Provider Identifier is 1013545805, issued on Mar 29, 2020. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Eureka, CA. The record was last updated on May 6, 2021.