Individual provider · Type 1 NPI

Constance Ruth Wylie

Nurse Practitioner · San Francisco, CA

NPI number 1376630814 Active

Practice location

1100 Van Ness Ave
San Francisco, CA 94109-6978

Call (415) 600-1010 Map

Fax (415) 558-7051

Mailing address

21300 Bald Ridge Dr
Penn Valley, CA 95946-9402

Other practice locations

  • 1601 Esplanade Ste 3, Chico, CA 95926-3370 · (415) 600-1020
  • 1315 Alhambra Blvd Ste 210, Sacramento, CA 95816-5246 · (916) 732-4380
  • 1401 Spanos Ct Ste 125, Modesto, CA 95355-2814 · (916) 732-4380

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP7089 (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…

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About NPI 1376630814

Constance Ruth Wylie's National Provider Identifier is 1376630814, issued on Oct 6, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Francisco, CA. The record was last updated on Apr 1, 2022.