Individual provider · Type 1 NPI
Christine I.m. Wilson, NP
Pediatric Nurse Practitioner · San Jose, CA
NPI number
1992867014
Active
Practice location
751 S Bascom Ave, Pediatrics Dept
San Jose, CA 95128-2604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN355746 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1992867014
Christine I.m. Wilson, NP's National Provider Identifier is 1992867014, issued on Dec 14, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in San Jose, CA. The record was last updated on Feb 24, 2010.