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Beverly Anne Wilson, RNC-BSN

Registered Nurse, Psych/Mental Health, Adult in Grass Valley, CA. Individual provider (NPI-1).

NPI number1306248372
StatusActive
Last updated in NPPESSep 22, 2014

Details

NPI
1306248372
Entity type
Individual (NPI-1)
Name
Mrs. Beverly Anne Wilson
Credential
RNC-BSN
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 22, 2014
Last updated
Sep 22, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WP0809X Registered Nurse, Psych/Mental Health, Adult265267CAYes

Practice location

500 Crown Point Cir Ste 120
Grass Valley, CA 95945-9561

Phone 530-470-2542

Mailing address

500 Crown Point Cir Ste 120
Grass Valley, CA 95945-9561

Phone 530-470-2542

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