Individual provider · Type 1 NPI
Antinique Wilson
Nurse Practitioner · Antioch, CA
Practice location
1104 Buchanan Rd Ste C10
Antioch, CA 94509-4226
Mailing address
2420 Sand Creek Rd # 130
Brentwood, CA 94513-2707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95025241 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
3 other providers at this address
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About NPI 1215765995
Antinique Wilson's National Provider Identifier is 1215765995, issued on Jul 24, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Antioch, CA. The record was last updated on Jul 24, 2024.