| Maria Theresa Liceralde Wyson, MSN, FNP-C | |
|
7811 Laguna Blvd Ste 161, Elk Grove, CA 95758-7949 | |
| (916) 877-7778 | |
| (916) 896-1286 |
| Full Name | Maria Theresa Liceralde Wyson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 7811 Laguna Blvd Ste 161, Elk Grove, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861769648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 21360 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American River Urgent Care Inc | 5890050900 | 5 |
| Entity Name | Alshifa Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093960403 PECOS PAC ID: 6507914785 Enrollment ID: O20090427000482 |
| Entity Name | American River Urgent Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598279085 PECOS PAC ID: 5890050900 Enrollment ID: O20180521000138 |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Theresa Liceralde Wyson, MSN, FNP-C 11592 Linday Way, Gold River, CA 95670-6233 Ph: (916) 213-2570 | Maria Theresa Liceralde Wyson, MSN, FNP-C 7811 Laguna Blvd Ste 161, Elk Grove, CA 95758-7949 Ph: (916) 877-7778 |
Zenaida J Pablo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9098 Laguna Main St, Suite 6, Elk Grove, CA 95758 Phone: 916-691-6780 | |
Mary P Manu, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6017 Travo Way, Elk Grove, CA 95757 Phone: 916-479-9007 Fax: 916-479-9007 | |
Mrs. Mia Abigail Dalag Mateo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5601 Claudied Way, Elk Grove, CA 95757 Phone: 916-582-4010 | |
Navjot Kaur Dhillon, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9394 Big Horn Blvd, Elk Grove, CA 95758 Phone: 916-691-8500 Fax: 916-691-8589 | |
Tabitha L Mason, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8125 Sheldon Rd #103, Elk Grove, CA 95758 Phone: 661-433-9133 | |
Wally Zarate, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10372 Via Cinta Ct, Elk Grove, CA 95757 Phone: 916-812-0800 | |
Mary Margaret Carter, RN, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9201 Big Horn Blvd, Elk Grove, CA 95758 Phone: 916-478-5300 |