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MS. ROXANNE MILES WILSON MNFNP/GNPDSDPHNC NPI 1427337559


NPI Information

NPI: 1427337559
Provider Name: MS. ROXANNE MILES WILSON, MN,FNP/GNP,DSD,PHN,C
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
5140 YOLANDA AVE
TARZANA, CA
ZIP 91356
Phone: (818) 344-8646
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MS. Roxanne Miles Wilson, MN,FNP/GNP,DSD,PHN,C is a gerontology nurse practitioner in Tarzana, CA. MS. Roxanne Miles Wilson, MN,FNP/GNP,DSD,PHN,C NPI is 1427337559. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5140 YOLANDA AVE
TARZANA, CA
ZIP 91356-027
Phone: (818) 344-8646

The enumeration date for this NPI number is 8/7/2011 and was last updated on 4/23/2018.


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
1363LF0000XNurse PractitionerFamilyRN362861CALIFORNIANo
2363LG0600XNurse PractitionerGerontology6708CALIFORNIAYes
3363LG0600XNurse PractitionerGerontologyRN362861CALIFORNIANo

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

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