Individual provider · Type 1 NPI

Bernise Wilson

Family Nurse Practitioner · Cerritos, CA

NPI number 1194919456 Active

Practice location

12900 Park Plaza Dr
Cerritos, CA 90703-9329

Mailing address

PO Box 15921
Long Beach, CA 90815-0921

Other practice locations

  • 1150 Baker St, Costa Mesa, CA 92626-4111 · (562) 881-8326

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNP95003938 (CA)

Family Nurse Practitioner: Definition to come...

52 other providers at this address

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About NPI 1194919456

Bernise Wilson's National Provider Identifier is 1194919456, issued on Aug 30, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cerritos, CA. The record was last updated on May 8, 2018.