Andre Wilson
Registered Nurse, Psych/Mental Health in Eureka, CA. Individual provider (NPI-1).
NPI number1013545805
StatusActive
Last updated in NPPESMay 6, 2021
Details
- NPI
- 1013545805
- Entity type
- Individual (NPI-1)
- Name
- Andre Wilson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2020
- Certification date
- May 6, 2021
- Last updated
- May 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0808X | Registered Nurse, Psych/Mental Health | 95213323 | CA | Yes |
Practice location
720 Wood StEureka, CA 95501-4413
Phone 707-268-2990
Mailing address
720 Wood StEureka, CA 95501-4413
Other practice locations
1045 9th Ave
San Diego, CA 92101-5504
San Diego, CA 92101-5504
Phone 619-235-2600
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All 207 Psychiatric/Mental Health Registered Nurse providers in Eureka · All 3,243 providers in Eureka
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