Individual provider · Type 1 NPI
Elena Wilson, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Irvine, CA
NPI number
1336718048
Active
Practice location
6201 Oak Cyn Ste 150
Irvine, CA 92618-5230
Mailing address
5124 Pin Oak Trl
Northport, AL 35473-1223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1-077287 (AL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1336718048
Elena Wilson, PMHNP-BC's National Provider Identifier is 1336718048, issued on Jun 18, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Irvine, CA. The record was last updated on Jun 18, 2021.