Wilson, Bernise

Wilson, Bernise is an individual health care provider with primary practice located at 12900 Park Plaza Dr , Cerritos CA 90703-9329. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wilson, Bernise can be contacted via phone (866) 646-3553.

Contact Information

Primary practice address
12900 Park Plaza Dr Cerritos CA 90703-9329
Phone: (866) 646-3553
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP95003938 California

Profile Details

NPI number 1194919456
LBN Legal business name Wilson, Bernise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2007
Last updated May 8th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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