Colleen Wilson, RN BSN is a
Registered Nurse based in Independence, California. Colleen Wilson is licensed to practice in California (license number 669955) and her current practice location is
550 S Clay St, Independence, California. She can be reached at her office (for appointments etc.) via phone at
(760) 878-0324.
NPI number for Colleen Wilson is 1700652591 and her current mailing address is Po Box A, Independence, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700652591.
Provider's Profile
| Full Name | Colleen Wilson |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
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| Location | 550 S Clay St, Independence, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700652591
- Provider Enumeration Date: 12/01/2023
- Last Update Date: 12/01/2023
Medical Identifiers
Medical identifiers for Colleen Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700652591 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 669955 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Colleen Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Colleen Wilson, RN BSN
Po Box A,
Independence, CA 93526-0601
Ph: (760) 878-0345 | Colleen Wilson, RN BSN
550 S Clay St,
Independence, CA 93526
Ph: (760) 878-0324 |
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