Individual provider · Type 1 NPI
Lisa Virginia Wilson
Ambulatory Care Registered Nurse · Long Beach, CA
NPI number
1689190464
Active
Practice location
1333 Chestnut Ave
Long Beach, CA 90813
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Care Registered Nurse Primary | 163WP2201X | 95055716 (CA) |
Ambulatory Care Registered Nurse: Definition to come...
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About NPI 1689190464
Lisa Virginia Wilson's National Provider Identifier is 1689190464, issued on Aug 14, 2017. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Long Beach, CA. The record was last updated on Jul 21, 2022.