THERESA WILSON (NPI# 1760631592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760631592 |
| Entity Type | Individual |
| Full Name | THERESA WILSON |
| Practice Address |
638 Camino De Los Mares Ste D Minute Clinic 8882 San Clemente CA 92673 |
| Mailing Address |
1 Cvs Dr Atten: Minuteclinic Credentialing-2100 Woonsocket RI 02895 |
| Practice Telephone | 8663892727 |
| Mailing Telephone | 6122251512 |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2017-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
8242 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710436274 | Theresa Mae Wilson | Registered Nurse | 205 W Park St, Oak Harbor, OH 43449-1239 | 2016-09-26 |
| 1063816916 | Theresa Marie Wilson | Social Worker | 138 Summer St, North Easton, MA 02356-2242 | 2014-10-21 |
| 1295176733 | Theresa Ann Wilson | Social Worker | Milepost 388 Highway 264, Polacca, AZ 86042-4000 | 2013-07-12 |
| 1821362286 | Theresa O'bryan Wilson | Social Worker | 11961 Packets St Nw, Canal Fulton, OH 44614-8453 | 2012-03-02 |
| 1194965244 | Theresa Wilson | Speech-Language Pathologist | 9 Ira Ct, Brooklyn, NY 11229-5985 | 2009-03-03 |
| 1821205444 | Theresa C Wilson | Social Worker | 900 Dudley Ave, Cherry Hill, NJ 08002-4426 | 2007-05-16 |
| 1023151628 | Theresa Wilson | Registered Nurse | 231 Wilson Pike Cir Ste 200, Brentwood, TN 37027-5286 | 2007-02-14 |
| 1780234948 | Theresa Marie Wilson | Case Manager/Care Coordinator | 11512 B Ave, Auburn, CA 95603-2605 | 2019-09-18 |
| 1811479264 | Theresa Lynn Wilson | Occupational Therapist | 508 W Trilby Rd, Fort Collins, CO 80526 | 2018-09-02 |
| 1073001806 | Theresa Lee Wilson | Counselor | 3705 Avenue A, Lubbock, TX 79404-2439 | 2018-04-26 |
| Street Address |
638 CAMINO DE LOS MARES STE D MINUTE CLINIC 8882 |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497246474 | Cynthia Hull Warren | Nutritionist | 2027 Via Concha, San Clemente, CA 92673 | 2018-05-24 |
| 1063942688 | Trinh T Tran | Pharmacist | 638 Camino De Los Mares #d5, San Clemente, CA 92673 | 2017-06-15 |
| 1427421791 | Jessica A Currens | Nurse Practitioner | 1001 Avenida Pico Ste C517, San Clemente, CA 92673 | 2015-11-08 |
| 1184010647 | Garrett Bryon Rubio | Student in an Organized Health Care Education/Training Program | 905 Calle Amanecer Ste. 265, San Clemente, CA 92673 | 2015-04-11 |
| 1255733853 | Body Mind Spirit Iop Inc | Psychologist | 665 Camino De Los Mares Ste 104, San Clemente, CA 92673 | 2014-09-25 |
| 1548677438 | Jessica Ann Riley | Dermatology | 1300 Avenida Vista Hermosa Ste 150, San Clemente, CA 92673 | 2014-07-13 |
| 1427398718 | Veena Menda | Specialist | 2232 Calle Opalo, San Clemente, CA 92673 | 2013-02-22 |
| 1124383781 | Alexandra Rose Corporation | Substance Abuse Rehabilitation Facility | 4009 Calle Abril, San Clemente, CA 92673 | 2012-07-10 |
| 1457612574 | Noelle J Deckman | Psychologist | 629 Camino De Los Mares Ste 207a, San Clemente, CA 92673 | 2012-06-05 |
| 1851686471 | Meighan Bartholomew Merono | Pharmacist | 990 Avenida Vista Hermosa, San Clemente, CA 92673 | 2011-06-10 |
| Find all providers in zip 92673 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710512587 | Emma Sharon Perry | Nurse Practitioner | 212 W Avenida Gaviota, San Clemente, CA 92672-5442 | 2020-03-11 |
| 1619447562 | Lauren Deats | Nurse Practitioner | 1031 Avenida Pico Ste 103, San Clemente, CA 92673-6355 | 2018-12-04 |
| 1427421791 | Jessica A Currens | Nurse Practitioner | 1001 Avenida Pico Ste C517, San Clemente, CA 92673 | 2015-11-08 |
| 1912119496 | Laurie Kay Carson | Nurse Practitioner | 104 Delgado Road, San Clemente, CA 92672 | 2007-05-04 |
| 1811073471 | Lynn Carol Briganti | Nurse Practitioner | 5 Via Ceramica, San Clemente, CA 92673-7012 | 2006-10-27 |
| 1184712614 | Mary Beth Mcgowan | Nurse Practitioner | 14300 Mesa Rd, San Clemente, CA 92672 | 2006-10-10 |
| 1215043880 | Megan D Walla | Nurse Practitioner | 226 El Oriente, San Clemente, CA 92672-3140 | 2006-08-23 |
| 1144864851 | Sarah Sayre | Nurse Practitioner | 1031 Avenida Pico Ste 103, San Clemente, CA 92673-6355 | 2019-11-05 |
| 1083116586 | Victoria Lynn Whalen | Nurse Practitioner | 638 Camino De Los Mares, San Clemente, CA 92673-2848 | 2018-03-01 |
| 1093242851 | Sonia Gordon Luckey | Nurse Practitioner | 638 Camino De Los Mares, San Clemente, CA 92673 | 2017-05-11 |
| Find all providers in SAN CLEMENTE | ||||
| City | SAN CLEMENTE |
| Zip Code | 92673 |
Please comment or provide details below to improve the information on THERESA WILSON.
| 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.