Individual provider · Type 1 NPI
Judith Ruth Wilson, NP
Adult Health Nurse Practitioner · Long Beach, CA
NPI number
1275736191
Active
Practice location
1645 Clark Ave Unit 116
Long Beach, CA 90815-3807
Fax (562) 961-9146
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 1340 (CA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1275736191
Judith Ruth Wilson, NP's National Provider Identifier is 1275736191, issued on Jun 7, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Long Beach, CA. The record was last updated on Nov 12, 2014.