Individual provider · Type 1 NPI

Wilson Mak, FNP

Family Nurse Practitioner · Modesto, CA

NPI number 1922427665 Active

Practice location

1114 6th St
Modesto, CA 95354-2203

Fax (209) 576-8842

Mailing address

737 W Childs Ave, Credentialing Department
Merced, CA 95341-6805

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X812700 (CA)
Family Nurse Practitioner Primary 363LF0000X95000312 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1922427665

Wilson Mak, FNP's National Provider Identifier is 1922427665, issued on Apr 9, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Modesto, CA. The record was last updated on Apr 9, 2014.