Mary Kay Wilson I, is a
Licensed Vocational Nurse based in San Clemente, California. Mary Kay Wilson I is licensed to practice in California (license number VN233656) and her current practice location is
248 Avenida Monterey Apt B, San Clemente, California. She can be reached at her office (for appointments etc.) via phone at
(951) 536-9221.
NPI number for Mary Kay Wilson I is 1972284594 and her current mailing address is 248 Avenida Monterey Apt B, San Clemente, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972284594.
Provider's Profile
Full Name | Mary Kay Wilson I |
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Gender | Female |
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Speciality | Licensed Vocational Nurse |
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Location | 248 Avenida Monterey Apt B, San Clemente, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972284594
- Provider Enumeration Date: 07/27/2023
- Last Update Date: 07/27/2023
Medical Identifiers
Medical identifiers for Mary Kay Wilson I such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972284594 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | VN233656 (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. Mary Kay Wilson I 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 |
Mary Kay Wilson I, 248 Avenida Monterey Apt B, San Clemente, CA 92672-1972 Ph: (951) 536-9221 | Mary Kay Wilson I, 248 Avenida Monterey Apt B, San Clemente, CA 92672-1972 Ph: (951) 536-9221 |
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