Theresa Wilson Valid NPI

Individual provider · Family Nurse Practitioner · San Clemente, CA

NPI

1760631592

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

8242 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2008-09-17

Last updated

2025-11-30