Individual provider · Type 1 NPI
Carolyn Deanna Wilson
Case Management Registered Nurse · Sacramento, CA
NPI number
1184298671
Active
Practice location
2425 Stockton Blvd
Sacramento, CA 95817-2215
Fax (916) 453-5038
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 950866896 (CA) |
| Pediatric Registered Nurse | 163WP0200X | 950866896 (CA) |
| Case Management Registered Nurse Primary | 163WC0400X | 950866896 (CA) |
Case Management Registered Nurse: Definition to come...
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About NPI 1184298671
Carolyn Deanna Wilson's National Provider Identifier is 1184298671, issued on May 18, 2021. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Sacramento, CA. The record was last updated on Sep 1, 2023.