Wilson, Sally

Wilson, Sally is an sole proprietor health care provider with primary practice located at 4456 Dawes Ave , Culver City CA 90230. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Women's Health Care, Ambulatory, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wilson, Sally can be contacted via phone (310) 319-4503.

Contact Information

Primary practice address
4456 Dawes Ave Culver City CA 90230
Phone: (310) 319-4503
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Women's Health Care, Ambulatory 163WW0101X 514467 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 13414 California

Profile Details

NPI number 1255673893
LBN Legal business name Wilson, Sally
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2013
Last updated Mar 21st, 2013 - about 12 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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