Provider Type Icon

NATHAN ASHLEY WILKINSON AGPCNP-BC NPI 1417515412


NPI Information

NPI: 1417515412
Provider Name: NATHAN ASHLEY WILKINSON, AGPCNP-BC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
22331 MISSION BLVD
HAYWARD, CA
ZIP 94541
Phone: (510) 471-5907
Get Directions

Nathan Ashley Wilkinson, AGPCNP-BC is a primary care nurse practitioner in Hayward, CA. Nathan Ashley Wilkinson, AGPCNP-BC NPI is 1417515412. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

22331 MISSION BLVD
HAYWARD, CA
ZIP 94541-911
Phone: (510) 471-5907

The NPI 1417515412 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/4/2019 and was last updated on 6/4/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered Nurse95102324CALIFORNIANo
2363LG0600XNurse PractitionerGerontology95009994CALIFORNIANo
3363LA2200XNurse PractitionerAdult Health95009994CALIFORNIANo
4363LP2300XNurse PractitionerPrimary Care95009994CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.