MS. ANNA MARIA WILSON


Address: 12810 Heacock St, Suite B201, Moreno Valley, CA 92553-2854
Phone: 9516012363

MS. ANNA MARIA WILSON (NPI# 1326073263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326073263
Entity Type Individual
Full Name MS. ANNA MARIA WILSON
Credential MSN, ACNP
Practice Address 12810 Heacock St
Suite B201
Moreno Valley
CA 92553-2854
Practice Telephone 9516012363
Practice Fax Number 9516012316
Mailing Telephone 9516012363
Mailing Fax Number 9516012316
Enumeration Date 2006-07-11
Last Update Date 2014-07-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
459195 CA Physician Assistants & Advanced Practice Nursing Providers

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1922124064 Anna Heaton Wilson Social Worker 111 Longwood Drive, Huntsville, AL 35801-4522 2007-03-21
1275531741 Anna Michaele Wilson Counselor 1140 Herschell Bess Blvd, Poplar Bluff, MO 63901 2005-07-08
1982234472 Anna Wilson Physical Therapist 19721 S Highway 213, Oregon City, OR 97045-4190 2020-01-23
1720624190 Anna E. Wilson Registered Nurse 1802 6th Ave S, Birmingham, AL 35233-1932 2019-11-20
1205484763 Anna Margaret Wilson Physical Therapist 515 Ray C Hunt Dr, Charlottesville, VA 22903-2981 2019-08-28
1609348051 Anna Wilson Behavior Technician 3802 Highway 90, Pace, FL 32571-1014 2018-12-26
1629547724 Anna M Wilson Social Worker 125 Wellness Way, Hot Springs, AR 71913-6478 2018-11-19

Office Location

Street Address 12810 HEACOCK ST
SUITE B201
City MORENO VALLEY
State CA
Zip Code 92553-2854

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295765428 Cardiovascular Consultants of The Inland Valley Internal Medicine 12810 Heacock St, Suite B201, Moreno Valley, CA 92553-2854 2006-07-04
1629415120 Armando Franco Md Inc Family Medicine 12810 Heacock St, Suite B206, Moreno Valley, CA 92553-3170 2013-05-24
1326315573 Spectrum Clinical Research Institute Inc Specialist 12810 Heacock St, Suite B210, Moreno Valley, CA 92553-2854 2011-11-16
1619003944 Clinton King Wong Optometrist 12810 Heacock St, Suite B104, Moreno Valley, CA 92553-2854 2007-02-23
1073662235 Robert Thomas Silvola Dentist 12810 Heacock St, Ste B103, Moreno Valley, CA 92553-3171 2007-01-09
1548326028 Robert Ray Witty Physician Assistant 12810 Heacock St, Suite B-206, Moreno Valley, CA 92553-2854 2006-12-28
1215096409 Armando L. Franco Family Medicine 12810 Heacock St, Suite B-206, Moreno Valley, CA 92553-2854 2006-12-06
1174554935 George A Ponce Sr. Internal Medicine 12810 Heacock St, Suite B201, Moreno Valley, CA 92553-2854 2006-07-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104441559 Tanya Gentle Marriage & Family Therapist 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 2020-06-11
1275194227 Antonio Pearce Psychologist 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 2019-06-20
1346726486 Elias Y. Rached Chiropractor 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 2018-07-12
1952813420 Shanaya Frederick Driver 14929 Spinnaker Lane, Moreno Valley, CA 92553 2017-10-24
1457879413 R & C Logistic Services, LLC Private Vehicle 14768 Briana St, Moreno Valley, CA 92553 2017-08-30
1720505084 Elda Pricila Hernandez Behavioral Analyst 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 2017-08-28
1174044101 Ps Medical Supplies Inc Durable Medical Equipment & Medical Supplies 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 2017-06-29
1942736327 Richard Pantoja Reyna Licensed Vocational Nurse 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 2017-05-04
1255872719 Sibonisiwe Moyo Johnson Nurse Practitioner 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 2017-03-16
1518311190 Ryan Macavinta Nurse Practitioner 22765 Alessandro Blvd., Moreno Valley, CA 92553 2016-04-20
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467935858 Ahmed Mohamed Mahdi Nurse Practitioner 12730 Heacock St Ste 4a, Moreno Valley, CA 92553-3040 2018-09-11
1922477306 Lily Tiao Nurse Practitioner 26520 Cactus Ave, Moreno Valley, CA 92555-3927 2015-09-16
1881883312 Catherine A Schell Nurse Practitioner 26520 Cactus Ave, Moreno Valley, CA 92555-3927 2007-10-22

Providers in the same taxonomy and state

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1851990550 Fernanda Monteon Ibarra Nurse Practitioner 30222 Belmont Ct, Agoura Hills, CA 91301-4611 2020-10-22
1780283168 Brenda Rienru Rhima Nurse Practitioner 24657 Rockston Dr, Corona, CA 92883-1614 2020-10-18
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1053919258 Lacey Etienne Neufeld Nurse Practitioner Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 2020-10-12
1063028298 Kanokwan Kultan Nurse Practitioner 15850 Babcock St, San Diego, CA 92127-3680 2020-09-22
1538775093 David Lee Nurse Practitioner 5710 S Glennie Ln Apt A, Los Angeles, CA 90016-1063 2020-09-21
1124634886 Catherine Kestenian Nurse Practitioner 351 E Foothill Blvd Ste 250, Arcadia, CA 91006-7426 2020-09-18
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Competitor

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City MORENO VALLEY
Zip Code 92553

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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