Individual provider · Type 1 NPI
Mary Ellen Wilkosz, FNP
Family Nurse Practitioner · Novato, CA
NPI number
1457565814
Active
Practice location
165 Rowland Way #105
Novato, CA 94945
Mailing address
469 Estado Way
Novato, CA 94945-1327
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | N378008 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1457565814
Mary Ellen Wilkosz, FNP's National Provider Identifier is 1457565814, issued on May 9, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Novato, CA. The record was last updated on Jul 21, 2010.